Individual
KRUTI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 CHILDRENS AVE, SUITE 4D, OKLAHOMA CITY, OK 73104-4637
(405) 271-8001
(405) 271-3093
Mailing address
1200 CHILDRENS AVE, SUITE 4D, OKLAHOMA CITY, OK 73104-4637
(405) 271-8001
(405) 271-3093
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/02/2014
Last updated
06/22/2015
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