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Contact Information

K ANTHONY SHANBOUR, M.D., INC
4140 W MEMORIAL RD
SUITE 215
OKLAHOMA CITY, OK73120
 Phone: 405-242-4030
 Fax: 405-242-4031
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for K ANTHONY SHANBOUR MD INC · (Female)

NPI # 1972691780
Status Active
Credentials
Entity Individual
Enumeration date 10/10/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • OK License # 17067
  • OK Other 441609746002 BLUE CROSS BLUE SHEILD
Hospital affiliation(s) Not Available
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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