Shadid, Ralph Oscar

Shadid, Ralph Oscar is an individual health care provider with primary practice located at 4401 S Western Ave , Oklahoma City OK 73109-3413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shadid, Ralph Oscar can be contacted via phone (405) 713-7403.

Contact Information

Primary practice address
4401 S Western Ave Oklahoma City OK 73109-3413
Phone: (405) 713-7403
Fax: (405) 713-2794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13215 Oklahoma

Profile Details

NPI number 1922091511
LBN Legal business name Shadid, Ralph Oscar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Jul 20th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922091511 NPPES
Oklahoma MEDICAID 100105360A
Oklahoma Other 080005669

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