| Shawn A Khavari, Pllc | |
|
3444 S Boulevard Edmond OK 73013-5482 | |
| (405) 285-2260 | |
| (405) 285-2280 |
| Full Name | Shawn A Khavari, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3444 S Boulevard, Edmond, Oklahoma |
| Authorized Official Name and Position | Shawn A Khavari (OWNER) |
| Authorized Official Contact | 4052852260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn A Khavari, Pllc Po Box 268866 Oklahoma City OK 73126-8866 Ph: (405) 310-4192 | Shawn A Khavari, Pllc 3444 S Boulevard Edmond OK 73013-5482 Ph: (405) 285-2260 |
| NPI Number | 1881913358 |
|---|---|
| Provider Enumeration Date | 05/24/2010 |
| Last Update Date | 05/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881913358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 24662 (Oklahoma) | Primary |
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