Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OS10428 | FL |
N | 111NI0900X | Internist | OS10428 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | 03596 | KY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 7452 | OK |
N | 207RC0000X | Internist - Cardiovascular Disease | OS10428 | FL |
N | 207RI0011X | Interventional Cardiology | 03596 | KY |
NPI | 1093963563 |
---|---|
Provider Name | Lior Shamai |
First Address | Tulsa, OK 74104-6520 |
Second Address | Tulsa, OK 74104-6520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 07/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201198750 | (05) | IN |
7100251430 | (05) | KY |