Individual
DR. SHUBHADA MITHILESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(214) 517-1410
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(214) 517-1410
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
M4362
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M4362
TEXAS STATE LICENSE
TX
Enumeration date
03/24/2006
Last updated
05/04/2025
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