Most Relevant Information
Provider Data
| NPI Number: | 1003229535 |
| Provider Name: | KRUTI SHAH |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/02/2014 |
| Last Updated: | 06/22/2015 |
Provider Practice Location
1200 CHILDRENS AVE
SUITE 4D
OKLAHOMA CITY
OK
731044637
Practice Location Phone/Fax
| Phone: | 4052718001 |
| Fax: | 4052713093 |
Provider Mailing Location
1200 CHILDRENS AVE
SUITE 4D
OKLAHOMA CITY
OK
731044637
Provider Mailing Phone/Fax
| Phone: | 4052718001 |
| Fax: | 4052713093 |