Organization
SHAH MEDICAL CENTER LLC
Active
Organization
SHAH MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI AKSAR SHAH M.D. (PRESIDENT)
(580) 924-2424
Entity
Organization
Contact information
Practice address
720 BRYAN DR, SUITE A, DURANT, OK 74701-7032
(580) 924-2424
(580) 924-2425
Mailing address
PO BOX 671, DURANT, OK 74702-0671
(580) 924-2424
(580) 924-2425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23224
OK
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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