Individual
VATSALA NIRANJAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 NW 63RD ST, #205, OKLAHOMA CITY, OK 73116-1549
(405) 242-6494
(405) 242-6496
Mailing address
1225 W MAIN, #205, NORMAN, OK 73069-6851
(405) 292-5500
(405) 292-5505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18903
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100138360C
—
OK
Enumeration date
08/16/2005
Last updated
01/07/2016
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