Individual
ADDI S ABUELSHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E PECAN, JCMH/ HOSPITALIST OFFICE, ALTUS, OK 73521
(580) 379-5992
(580) 379-5999
Mailing address
1200 E PECAN, JCMH/ HOSPITALIST OFFICE, ALTUS, OK 73521
(580) 379-5992
(580) 379-5999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20057
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10225280A
—
OK
Enumeration date
09/21/2005
Last updated
08/19/2022
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