Organization
MAHMOOD A SHAKIR M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOOD A SHAKIR M.D. (PRESIDENT)
(405) 495-3586
Entity
Organization
Contact information
Practice address
1435 N ROCKWELL AVE, OKLAHOMA CITY, OK 73127-3348
(405) 495-3586
(405) 495-3597
Mailing address
1435 N ROCKWELL AVE, OKLAHOMA CITY, OK 73127-3348
(405) 495-3586
(405) 495-3597
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
12648
OK
207RC0000X
Cardiovascular Disease Physician
Primary
12649
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012710A
—
OK
05
—
100013230A
—
OK
Enumeration date
09/06/2007
Last updated
09/06/2007
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