David L Shadid Do Inc

LBN: David L Shadid Do Inc
David L Shadid Do Inc is an health care organization with primary practice located at 4612 S Harvard Ave Ste A, Tulsa OK 74135-2908. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. David L Shadid Do Inc can be contacted via phone (918) 747-5565, or through Shadid, David L via phone (918) 747-5565.

Contact Information

Primary practice address
4612 S Harvard Ave Ste A Tulsa OK 74135-2908
Fax: (918) 747-5568
Website:
Authorized official contact:
Name: Shadid, David L Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2930 Oklahoma
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2930 Oklahoma

Profile Details

NPI number 1992898209
LBN Legal business name David L Shadid Do Inc
DBA Doing business as
Authorized official Shadid, David L Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Dec 2nd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992898209 NPPES
Oklahoma MEDICAID 200012860A

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