Individual
MR. SHERVIN SHAYEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4999
(405) 949-3011
Mailing address
15605 CAPRI LN, EDMOND, OK 73013-6229
(405) 875-5537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0112335
OK
363LA2100X
Acute Care Nurse Practitioner
Primary
205439
OK
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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