Search › Oklahoma › 207Q00000X
Shivendra Bansal, M.D
NPI 1144679952 · on the registry since 2016
Practice
- Address
- 3315 Kethley Rd
Shawnee, OK 74804 - Phone
- (405) 273-5801
- Fax
- (405) 878-3794
- Organisation at this address
- Saints Medical Group, Llc
Shawnee Medical Center Clinic, Inc
Shawnee Medical Center Clinic, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 59
Additional practice sites
- 900 Ne 10th St, Oklahoma City, OK
- 900 Ne 10th St, Oklahoma City, OK
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma