| Shah Medical Center Llc | |
|
720 Bryan Dr Suite A Durant OK 74701-7032 | |
| (580) 924-2424 | |
| (580) 924-2425 |
| Full Name | Shah Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 720 Bryan Dr, Durant, Oklahoma |
| Authorized Official Name and Position | Ali Aksar Shah (PRESIDENT) |
| Authorized Official Contact | 5809242424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shah Medical Center Llc Po Box 671 Durant OK 74702-0671 Ph: (580) 924-2424 | Shah Medical Center Llc 720 Bryan Dr Suite A Durant OK 74701-7032 Ph: (580) 924-2424 |
| NPI Number | 1386934248 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 04/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386934248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23224 (Oklahoma) | Primary |
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