Shelly Bansal MD

NPI 1174793111 - Surgery - 208600000X

NPI Details
NPI 1174793111
Gender Female
Enumeration Date 03/05/2008
Last Updated 10/17/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
4500 SAN PABLO RD S
JACKSONVILLE FL, 32224-1865, US
Phone (904) 953-2000
Fax
Business Location
4500 SAN PABLO RD S
JACKSONVILLE FL, 32224-1865, US
Phone
Fax
Toxanomy
Taxonomy Code 208600000X
License State Arizona
License Number 82145
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According to our database, Dr. Shelly Bansal MD NPI is 1174793111, taxonomy code is 208600000X and license number is 82145, license state is located at Arizona. Shelly Bansal MD physically located at 4500 San Pablo Rd S, Jacksonville FL, 32224-1865. NPI Number Shelly Bansal MD has the Individual type.

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1174793111 NPI number is provided on an as is basis without warranty of any kind. 1174793111 is maintained by the National Plan & Provider Enumeration System. The contents of Shelly Bansal MD are for informational purposes only.