Organization
NORMAN INTERNAL MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHRAN SHAHSAVARI M.D. (DOCTOR)
(405) 573-7800
Entity
Organization
Contact information
Practice address
3101 W TECUMSEH RD STE 103, NORMAN, OK 73072-1816
(405) 573-7800
(405) 573-7810
Mailing address
3101 W TECUMSEH RD STE 106, NORMAN, OK 73072-1816
(405) 573-7800
(405) 573-7810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21906
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100225100A
—
OK
01
—
1255361648
NPI
OK
01
—
1962695213
GROUP NPI
OK
01
—
37D0988996
CLIA
OK
Enumeration date
08/21/2007
Last updated
11/13/2024
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