SHAWN D GRANT, MD, Diagnostic Radiology TULSA, OK

Contact Information

SHAWN D GRANT, MD

1120 S UTICA AVE
TULSA, OK 74104-4012

Phone: 918-579-7720
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Body Imaging	2085B0100X

Indicates primary specialty

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NPI Profile & details for SHAWN D GRANT · (Male)

NPI Number	`1043214497`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	06/13/2005
Last updated	01/30/2013 - About 13 years ago
Sole proprietor ¹	No
Identifiers	KY License # 38822 IN Medicaid 200513800 KY Medicaid 64110307
Hospital affiliation(s)	GREAT PLAINS REGIONAL MEDICAL CENTER - (Acute Care) 1801 WEST 3RD STREET ELK CITY, OK 73644 INTEGRIS BASS BAPTIST HEALTH CENTER - (Acute Care) 600 SOUTH MONROE ENID, OK 73701 MUSKOGEE REGIONAL MEDICAL CENTER - (Acute Care) 300 ROCKEFELLER DRIVE MUSKOGEE, OK 74401 OKLAHOMA STATE UNIVERSITY MEDICAL CENTER - (Acute Care) 744 WEST 9TH STREET TULSA, OK 74127 W W HASTINGS INDIAN HOSPITAL - (Acute Care) 100 S BLISS AVENUE TAHLEQUAH, OK 74464

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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