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

Individual provider Anesthesiology Physician · NPI 1417436916

Prannal Bansal, MD is an Anesthesiology in Tampa, Florida. Qualified in 2011, 15 years ago. Practices with Banner - University Hospital Based Physicians LLC, a 347-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Florida.

Years since qualifying
15
Licensed in
AR, FL
In the registry since
2018
Specialties on file
2
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

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone: (813) 745-7365
Fax: (813) 449-8618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4301 W Markham St, Little Rock, AR 72205-7199 — (501) 526-3233

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence ME162323 (FL)
Anesthesiology Physician Taxonomy 207L00000X · Licence E-11648 (AR)

Record details

NPI number1417436916
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 7, 2018
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address24 Wildwood Place Cir, Little Rock, AR 72223-8002

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Banner - University Hospital Based Physicians Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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