Individual
DIMPLE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 S GARNETT RD STE 112, TULSA, OK 74146-5201
(918) 935-3550
Mailing address
4500 S GARNETT RD STE 112, TULSA, OK 74146-5201
(918) 935-3550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT191975
PA
2085R0202X
Diagnostic Radiology Physician
Primary
38411
OK
Other
Enumeration date
01/28/2008
Last updated
08/30/2021
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