Individual
DR. SHAHAN AHMED STUTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 NE 13TH STREET, OKLAHOMA CITY, OK 73104-5051
(405) 235-0040
(405) 235-4495
Mailing address
750 NE 13TH STREET, OKLAHOMA CITY, OK 73104-5051
(405) 235-0040
(405) 235-4495
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
27700
OK
207K00000X
Allergy & Immunology Physician
Primary
27700
OK
390200000X
Student in an Organized Health Care Education/Training Program
57.009276
OH
Other
Enumeration date
04/11/2007
Last updated
10/12/2016
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