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Organization

SHRI LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAKESH SHRIVASTAVA MD (OWNER)
(405) 642-8613
Entity
Organization

Contact information

Practice address
105 S BRYANT AVE STE 101, EDMOND, OK 73034-6330
(405) 622-3063
(405) 732-0022
Mailing address
15601 KESTRAL PARK CT, EDMOND, OK 73013-9505
(405) 642-8613
(405) 732-0022

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27981
OK
207RC0000X
Cardiovascular Disease Physician
27981
OK
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
27981
OK
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
27981
OK
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
27981
OK
207RI0011X
Interventional Cardiology Physician
27981
OK
207RS0012X
Sleep Medicine (Internal Medicine) Physician
27981
OK
207UN0901X
Nuclear Cardiology Physician
27981
OK
208M00000X
Hospitalist Physician
27981
OK
208M00000X
Hospitalist Physician
261Q00000X
Clinic/Center
27981
OK
261QU0200X
Urgent Care Clinic/Center
27981
OK
364SA2100X
Acute Care Clinical Nurse Specialist
27981
OK

Other

Enumeration date
10/30/2014
Last updated
07/21/2022
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