Individual
DR. KAMAL ANTHONY SHANBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4140 W MEMORIAL RD, SUITE 215, OKLAHOMA CITY, OK 73120-8366
(405) 242-4030
(405) 242-4031
Mailing address
13291 N MERIDIAN, SUITE 200, OKLAHOMA CITY, OK 73134-1104
(405) 237-9878
(405) 655-5791
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17067
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095810A
—
OK
Enumeration date
02/13/2006
Last updated
08/05/2019
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