Individual
DR. SHELLY BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
802 N RIVERSIDE RD STE 210, SAINT JOSEPH, MO 64507-2509
(816) 271-6200
(816) 271-6749
Mailing address
445 N SILVERBELL RD STE 201, TUCSON, AZ 85745-2686
(520) 396-1370
(520) 396-1375
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2022044341
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35.096003
OH
Other
Enumeration date
03/05/2008
Last updated
05/02/2024
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