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KANNU BANSAL MD
NPI 1174194419
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since July 07, 2021
123 SUMMER ST, WORCESTER, MA 01608(508) 363-5000 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kannu Bansal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANNU BANSAL MD (NPI 1174194419) is an individual student in an organized health care education/training program in Worcester, Massachusetts, licensed in Massachusetts (289300) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1174194419
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKANNU BANSALCredential: MD
Location Address123 SUMMER STWorcester, MA 01608-1216
Mailing Address123 Summer StWorcester, MA 01608-1216 · (508) 363-5000
Phone(508) 363-5000
Sole ProprietorNo
Enumeration DateJuly 7, 2021
NPPES CertifiedJuly 7, 2021
✔ NPI 1174194419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 289300
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
123 SUMMER ST, Worcester, MA 01608
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADAIAH LOKESHWARI M.D.
Hospitalist
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-6849
DR. JENNIFER LYNNE PAPPALARDO DPM
Podiatrist (Foot & Ankle Surgery)
123 SUMMER ST, DEPARTMENT OF PODIATRY
WORCESTER, MA 01608
Worcester County (508) 363-7390
DR. MADHAV SHARMA MD
Internal Medicine
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5438
YESHASWINI KATKOORI MD
Student in an Organized Health Care Education/Training Program
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000
DANIELLE MAY PELOQUIN
Nurse Anesthetist, Certified Registered
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000
DR. YAYAN CHEN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-6049
FARRICY & KRAFT LLP
Obstetrics & Gynecology (Obstetrics)
123 SUMMER ST, SUITE 560
WORCESTER, MA 01608
Worcester County (508) 363-6100
KEITH A BEALS PA
Physician Assistant
123 SUMMER ST
WORCESTER, MA 01608
Worcester County (508) 363-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kannu Bansal's NPI number?

The NPI number for Kannu Bansal is 1174194419. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Kannu Bansal located?

Kannu Bansal practices at 123 Summer St, Worcester, MA 01608. The listed phone number is (508) 363-5000.

What is Kannu Bansal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kannu Bansal was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.