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Contact Information

ADDI S ABUELSHAR, MD
1200 E PECAN
JCMH/ HOSPITALIST OFFICE
ALTUS, OK73521
 Phone: 580-379-5992
 Fax: 580-379-5999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ADDI S ABUELSHAR · (Male)

NPI # 1295721678
Status Active
Credentials MD
Entity Individual
Enumeration date 09/21/2005
Last updated 08/19/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 20057
  • OK Medicaid 10225280A
Hospital affiliation(s)
  • JACKSON COUNTY MEMORIAL HOSPITAL - (Acute Care)
    1200 EAST PECAN ST
    ALTUS, OK 73523
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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