Scott Shadfar
Facial Plastic Surgeon
4509 Integris Pkwy Suite 200
Edmond
, Oklahoma 73034-8696
Scott Shadfar
Facial Plastic Surgeon
4509 Integris Pkwy Suite 200
Edmond
, Oklahoma 73034-8696
(405) 657-3896
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Scott Shadfar
- 5300 N Independence Ave Suite 280
- Oklahoma City, OK
- Zip : 73112-5556
- Fax : (405) 657-3896
- Phone : (405) 657-3895
Second Address
- Scott Shadfar
- 4509 Integris Pkwy Suite 200
- Edmond, OK
- Zip : 73034-8696
- Fax : (405) 657-3896
- Phone : (405) 657-3895
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Is Scott Shadfar a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 31708 | OK |
National Provider Identifier
| NPI | 1710148283 |
|---|---|
| Provider Name | Scott Shadfar |
| First Address | Oklahoma City, OK 73112-5556 |
| Second Address | Edmond, OK 73034-8696 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2008 |
| Last Update Date | 09/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.