Mitul Shah, is a
Peer Specialist based in Jenks, Oklahoma. Mitul Shah is licensed to practice in * (Not Available) (license number ) and his current practice location is
525 N Vine St, Jenks, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 269-0932.
NPI number for Mitul Shah is 1134938269 and his current mailing address is 525 N Vine St, Jenks, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134938269.
Healthcare Provider's Profile
| Full Name | Mitul Shah |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 525 N Vine St, Jenks, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134938269
- Provider Enumeration Date: 01/03/2025
- Last Update Date: 01/03/2025
Medical Identifiers
Medical identifiers for Mitul Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134938269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mitul Shah is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mitul Shah,
525 N Vine St,
Jenks, OK 74037-3471
Ph: (918) 269-0932 | Mitul Shah,
525 N Vine St,
Jenks, OK 74037-3471
Ph: (918) 269-0932 |
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