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Contact Information

SUDEEP BANSAL, M.D.
131 NEW LONDON TPKE STE 105
GLASTONBURY, CT06033
 Phone: 860-430-5599
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SUDEEP BANSAL · (Male)

NPI Number 1346437233
Status Active
Credentials M.D.
Entity Individual
Enumeration date 09/25/2007
Last updated 05/04/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • CT License # 047284
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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