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Contact Information

DAVID L SHADID DO INC
4612 S HARVARD AVE
STE A
TULSA, OK74135-2908
 Phone: 918-747-5565
 Fax: 918-747-5568
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DAVID L SHADID DO INC

NPI Number 1992898209
LBN Legal business name DAVID L SHADID DO INC
Authorized official DAVID SHADID - (PRESIDENT PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 12/02/2014 - About 12 years ago
Identifiers
OK License # 2930
OK Medicaid 200012860A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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