Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sudeep Bansal, MD

Individual provider Internal Medicine Physician · NPI 1346437233

Dr. Sudeep Bansal, MD is an Internal Medicine in Glastonbury, Connecticut. Qualified in 2004, 22 years ago. Practices with Avanta Clinic LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
22
Licensed in
CT
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

131 New London Tpke Ste 105
Glastonbury, CT 06033
Phone: (860) 430-5599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 047284 (CT)

Record details

NPI number1346437233
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 25, 2007
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address131 New London Tpke Ste 105, Glastonbury, CT 06033-2246

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Avanta Clinic Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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