Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35764 | OK |
Y | 111NI0900X | Internist | 35764 | OK |
N | 208000000X | Pediatrician | 35764 | OK |
NPI | 1003437468 |
---|---|
Provider Name | Dr. Shawn Patel |
First Address | Oklahoma City, OK 73104-4637 |
Second Address | Oklahoma City, OK 73104-4637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2020 |
Last Update Date | 11/12/2021 |