Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shivendra Bansal, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1144679952

Shivendra Bansal, MD is a Family Practice in Shawnee, Oklahoma. Qualified in 2016, 10 years ago. Practices with Saints Medical Group, LLC, a 431-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3315 Kethley Rd
Shawnee, OK 74804
Phone: (405) 273-5801
Fax: (405) 878-3794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 900 Ne 10th St, Oklahoma City, OK 73104-5420 — (405) 271-2230
  • 900 Ne 10th St, Oklahoma City, OK 73104-5420 — (405) 271-2230

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 32293 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144679952
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2016
Last updated in NPPESJune 4, 2019
Mailing address3315 Kethley Rd, Shawnee, OK 74804-9638

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Saints Medical Group, Llc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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