Most Relevant Information
Provider Data
| NPI Number: | 1003459512 |
| Provider Name: | SHAH-MONEKE ANJONETTE GREEN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/28/2019 |
| Last Updated: | 10/28/2019 |
Provider Practice Location
3800 SE 48TH ST
OKLAHOMA CITY
OK
731352265
Practice Location Phone/Fax
| Phone: | 4708089070 |
| Fax: |
Provider Mailing Location
3800 SE 48TH ST
OKLAHOMA CITY
OK
731352265
Provider Mailing Phone/Fax
| Phone: | 4708089070 |
| Fax: |