NPI Profile for SHAWNEE MEDICAL CENTER CLINIC INC in ADA, OK.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Gastroenterology |
207RG0100X | 10 | Physician/Gastroenterology | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Pain Medicine |
207LP2900X | 05 | Physician/Anesthesiology | |
Pulmonary Disease |
207RP1001X | 11 | Physician/Internal Medicine | |
Rheumatology |
207RR0500X | 11 | Physician/Internal Medicine |
| NPI # | 1841832755 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/11/2019 | |
| Last updated | 10/11/2019 - About 7 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SHAWNEE MEDICAL CENTER CLINIC, INC
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