Organization
OKLAHOMA PEDIATRIC DIGESTIVE INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM SHAMBAYATI DO (CEO)
(405) 245-8004
Entity
Organization
Contact information
Practice address
3300 NW 56TH ST STE 300, OKLAHOMA CITY, OK 73112-4401
(405) 844-5221
Mailing address
3300 NW 56TH ST STE 300, OKLAHOMA CITY, OK 73112-4401
(405) 844-5221
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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