Individual
KAVITA K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4720 S HARVARD AVE STE 100, TULSA, OK 74135-3023
(918) 403-4120
Mailing address
4720 S HARVARD AVE STE 100, TULSA, OK 74135-3023
(918) 403-4120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28092
OK
207R00000X
Internal Medicine Physician
77175
AZ
207R00000X
Internal Medicine Physician
P7348
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
28092
OK
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
DR.0071548
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200306790A
—
OK
Enumeration date
05/11/2007
Last updated
10/01/2024
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