Individual
DR. MUDDASIR A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-5122
(405) 290-1623
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-5122
(405) 290-1623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23285
OK
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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