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

Itisha Bansal

Individual provider Anesthesiology Physician · NPI 1598185175

Itisha Bansal is an Anesthesiology in Bridgeport, Connecticut. Qualified in 2008, 18 years ago. Practices with Mary Imogene Bassett Hospital, a 779-clinician group. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2014
Specialties on file
2

Practice location Address checks out

2800 Main St Gme Ofc
Bridgeport, CT 06606
Phone: (203) 576-5425
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 291299 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1598185175
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2014
Last updated in NPPESSeptember 4, 2018
Mailing address1 Atwell Rd, Cooperstown, NY 13326-1301

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mary Imogene Bassett Hospital — 779 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Bridgeport