Individual ProviderMohit BansalRadiologyAllopathic & Osteopathic PhysiciansPractice Address3400 Wake Forest Rd, Raleigh, NC 27609(919) 954-3624PECOS EnrollmentBased on the most recent information from CMS, provider Mohit Bansal is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1679920094Provider TypeIndividualFull NameBansal, MohitTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/16/2016Last Updated8/10/2022Contact InformationPractice LocationPractice Address3400 Wake Forest Rd, Raleigh, NC 27609Phone(919) 954-3624FaxUnlisted FaxMailing LocationMailing Address3400 Wake Forest Rd, Raleigh, NC 27609-7317Phone(919) 954-3624FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2022-01006North Carolina