Mira Bansil, PA
NPI #1306994215 in Baldwin Park, California
Provider Information
- NPI Number
- 1306994215
- Entity Type
- Individual
- Name
- Mira Bansil, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Dec 14, 2021
Practice Location
- Address
- 1011 BALDWIN PARK BLVD
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-5806
- Phone
- (626) 851-1011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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