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Contact Information

SHIVENDRA BANSAL, MD
3315 KETHLEY RD
SHAWNEE, OK74804
 Phone: 405-273-5801
 Fax: 405-878-3794
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SHIVENDRA BANSAL · (Male)

NPI # 1144679952
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2016
Last updated 06/04/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 32293
Hospital affiliation(s)
  • UNITY HEALTH CENTER - (Acute Care)
    1102 W MACARTHUR
    SHAWNEE, OK 74804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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