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Shivendra Bansal, MD
Family Medicine Physician in Shawnee, Oklahoma
NPI 1144679952

Shivendra Bansal is a Family Medicine Physician based in Shawnee, OK. Shivendra Bansal practices in Shawnee, OK and has the professional credentials of MD. The NPI Number for Shivendra Bansal is 1144679952 and holds a License No. (Oklahoma).

The current practice location address for Shivendra Bansal is 3315 Kethley Rd, Shawnee, OK and can be reached out via phone at 405-273-5801 and via fax at 405-878-3794. You can also correspond with Shivendra Bansal through the mailing address at 3315 KETHLEY RD, SHAWNEE, OK - 74804-9638 (mailing address contact number: 405-273-5801).

Location: 3315 Kethley Rd, Shawnee, OK, 74804-9638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144679952
Provider Name
Shivendra Bansal
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3315 Kethley Rd, Shawnee, OK, 74804-9638
Phone Number
405-273-5801
Fax Number
405-878-3794
Provider Enumeration Date
06/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3315 Kethley Rd
City
Shawnee
State
Oklahoma
Zip
74804
Phone Number
405-273-5801
Fax Number
405-878-3794
person
Provider Business Mailing Address Details
Address
3315 Kethley Rd
City
Shawnee
State
Oklahoma
Zip
74804-9638
Phone Number
405-273-5801
Fax Number
405-878-3794
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
32293 (Oklahoma)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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