Individual
SHANE S. YAMANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
717 S HOUSTON AVE STE 400, TULSA, OK 74127-9007
(918) 582-7711
(918) 583-5831
Mailing address
5310 E 31ST ST STE 13, TULSA, OK 74135-5013
(918) 582-7711
(918) 583-5831
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
30044
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200525770A
—
OK
01
—
555969YLFB
MEDICARE
OK
Enumeration date
04/10/2006
Last updated
01/29/2025
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