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Individual

BIRJU ANILKUMAR SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
1200 EVERETT DR, ETNP 7504, OKLAHOMA CITY, OK 73104-5047
(405) 271-5215
(405) 271-1236
Mailing address
1200 EVERETT DR, ETNP 7504, OKLAHOMA CITY, OK 73104-5047
(405) 271-5215
(405) 271-1236

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD13826
RI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
31249
OK

Other

Enumeration date
01/25/2012
Last updated
12/22/2016
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