Individual
EKATERINA V SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 S HOUSTON AVE DEPT OF, TULSA, OK 74127-9023
(918) 906-0597
Mailing address
201 N REDWOOD CT, BROKEN ARROW, OK 74012-2182
(918) 906-0597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP61277941
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2019
Last updated
08/04/2022
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