Individual
DR. RALPH OSCAR SHADID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 713-7403
(405) 713-2794
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 713-7403
(405) 713-2794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13215
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080005669
RAILROAD MEDICARE
—
05
—
100105360A
—
OK
Enumeration date
08/29/2005
Last updated
07/20/2017
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