Individual
SHAWHIN ROSTAM KADIVAR SHAHRIARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 NW EXPWY, OKLAHOMA CITY, OK 73112-4418
(405) 951-2272
Mailing address
520 NW 176TH TER, EDMOND, OK 73012-0685
(310) 221-1481
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
43313
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/26/2018
Last updated
06/04/2024
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