Individual
SHAWN KHAVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16212 SONOMA PARK DRIVE, EDMOND, OK 73013-2117
(405) 285-2260
(405) 285-2280
Mailing address
16212 SONOMA PARK DRIVE, EDMOND, OK 73013-2117
(405) 285-2260
(405) 285-2280
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24662
OK
Other
Enumeration date
02/05/2007
Last updated
03/07/2023
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