All Medicaid billing entities listing BANSAL, SUDEEP (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Connecticut | 1 | $92K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | AVANTA CLINIC LLC | GLASTONBURY, CT | Internal Medicine Physician | $92K |