Organization
AESTHETIC INSTITUTE OF OKLAHOMA PLLC
Active
Other names
Shadfar Facial Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SHADFAR MD (OWNER)
(405) 834-3275
Entity
Organization
Contact information
Practice address
4509 INTEGRIS PKWY STE 350, EDMOND, OK 73034-8696
(405) 534-4358
(405) 657-3896
Mailing address
PO BOX 797, OKLAHOMA CITY, OK 73101-0797
(405) 534-4358
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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