Shah, Sandeep N

Shah, Sandeep N is an individual health care provider with primary practice located at 1851 S Kelly Ave Ste A , Edmond OK 73013-3602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Shah, Sandeep N can be contacted via phone (405) 607-6699.

Contact Information

Primary practice address
1851 S Kelly Ave Ste A Edmond OK 73013-3602
Phone: (405) 607-6699
Fax: (405) 607-6685
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 22912 Oklahoma
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 22912 Oklahoma

Profile Details

NPI number 1154362770
LBN Legal business name Shah, Sandeep N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 29th, 2024 - about 2 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 1154362770 NPPES
Oklahoma MEDICAID 200198330A

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