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NPI Code Detail

MEDICARE: SHWETA BANSAL MD

MEDICARE: SHWETA BANSAL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianN2394TX
2207RN0300XNephrology PhysicianN2394TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215083894
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHWETA BANSAL MD
Provider Business Mailing Address
First Line : 1055 ADA ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78223-1703
Country : US
Telephone Number : 210-358-5515
Fax Number : 210-358-5596
Provider Business Practice Location Address
First Line : 701 S ZARZAMORA ST
Second Line : MAIL STOP 3-5
City : SAN ANTONIO
State : TX
Zip : 78207-5209
Country : US
Telephone Number : 210-450-4000
Fax Number : 210-450-4903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 04/15/2026

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Directions to “ SHWETA BANSAL MD” Practice Location

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