Organization
SHAWN A KHAVARI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN A KHAVARI M.D. (OWNER)
(405) 285-2260
Entity
Organization
Contact information
Practice address
3444 S BOULEVARD, EDMOND, OK 73013-5482
(405) 285-2260
(405) 285-2280
Mailing address
PO BOX 268866, OKLAHOMA CITY, OK 73126-8866
(405) 310-4192
(405) 310-3687
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24662
OK
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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