Individual provider · Type 1 NPI

Shelly Bansal, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · St. Joseph, MO

NPI number 1174793111 Active

Practice location

802 N Riverside Rd Ste 210
St. Joseph, MO 64507-2509

Fax (816) 271-6749

Mailing address

445 N Silverbell Rd Ste 201
Tucson, AZ 85745-2686

Other practice locations

  • 5301 E Grant Rd, Tucson, AZ 85712-2805 · (520) 324-5461
  • 3533 Southern Blvd Ste 5650, Kettering, OH 45429-1263 · (937) 294-3611

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X2022044341 (MO)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000X35.096003 (OH)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1174793111

Shelly Bansal, MD's National Provider Identifier is 1174793111, issued on Mar 5, 2008. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in St. Joseph, MO. The record was last updated on May 2, 2024.