Individual
BHAVIN C SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 N COMMERCE ST, ARDMORE, OK 73401-3920
(580) 223-5311
(580) 220-6429
Mailing address
34 NORMANDY RD, CLIFTON, NJ 07013-3108
(973) 897-9593
(272) 243-2806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45402
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/19/2022
Last updated
09/21/2025
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