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Deactivated NPI 1790789725 Deactivated / Inactive NPI Male Practitioner

Dr. Giridhari L Bansal , MD

Pediatrics • Mesa, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Giridhari Bansal has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2005
NPI Deactivation Date March 21, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Giridhari Bansal, MD was a registered Pediatrics practicing in Mesa, AZ. Throughout an active medical career spanning 1 years, Dr. Bansal provided care at the practice location at 1520 S DOBSON RD until profile deactivation on 2006-03-21.

Practice Location & Contact Primary Location

Practice Address

1520 S Dobson Rd
Ste 205

Mesa, AZ 852024726

Telephone 4809621808
Fax 4809620738
Associated Practice Facility / Clinic
🏢 Neuromedicine Center, Pllc Facility NPI 1548261712

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.1 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
64 Specialists

Practicing in Mesa, AZ (1353 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ 6703

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Alisha Zimmer

Nurse Practitioner - Family

NPI 1023476819
Kevin Warren

Physician Assistant - Surgical

NPI 1043645617
Dr. Lori Grover , OD

Optometrist - Low Vision Rehabilitation

NPI 1124018916

Doctor of Optometry

Dr. Mark Hoefer , MD

Internal Medicine - Gastroenterology

NPI 1134181639

Doctor of Medicine (M.D.)

Dr. Tamar Gottfried , MD

Obstetrics & Gynecology

NPI 1134193873

Doctor of Medicine (M.D.)

NPI 1245205590

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 1520 S DOBSON RD, STE 205, MESA, AZ 852024726 (Tel: 4809621808)

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Updated Business Mailing Address July 08, 2007

Registered at 1520 S DOBSON RD, STE 205, MESA, AZ 852024726 (Tel: 4809621808)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GIRIDHARI BANSAL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #6703 in AZ)

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NPI Profile Reactivated April 18, 2006

Record officially reactivated for active practice on April 18, 2006

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NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

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Initial NPI Registration & Enumeration June 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790789725
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2005
Last Update: July 13, 2026
Deactivation Date: March 21, 2006
Sole Proprietor: No

Mailing Address

1520 S Dobson Rd, Ste 205

Mesa, AZ 852024726

Phone: 4809621808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.