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Individual

FYSAL SHENNIB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4142 S MINGO RD, TULSA, OK 74146-3632
(918) 417-6400
Mailing address
4142 S MINGO RD, TULSA, OK 74146-3632
(918) 417-6400

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301511023
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351046806
MI

Other

Enumeration date
06/11/2020
Last updated
12/03/2025
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