Individual
MUHAMMAD IMRAN SHAUKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8801 S 101ST EAST AVE, TULSA, OK 74133-5716
(918) 232-6915
(918) 298-2355
Mailing address
1145 S UTICA AVE, SUITE 110, TULSA, OK 74104-4013
(918) 579-3826
(918) 579-1262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24180
OK
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
24180
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100768880F
MEDICAID
OK
05
—
100768880F
—
OK
05
—
100768880I
—
OK
01
—
100768880J
MEDICAID
OK
05
—
100768880J
—
OK
05
—
200048600A
—
OK
01
—
37-1803
MEDICARE
OK
01
—
37-1832
MEDICARE
OK
01
—
37-1834
MEDICARE
OK
Enumeration date
08/12/2005
Last updated
11/01/2016
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