Shadid, David L

Shadid, David L is an sole proprietor health care provider with primary practice located at 4612 S Harvard Ste A, Tulsa OK 74135. He 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 his primary health care specialty. Shadid, David L can be contacted via phone (918) 747-5565.

Contact Information

Primary practice address
4612 S Harvard Ste A Tulsa OK 74135
Phone: (918) 747-5565
Fax: (918) 747-5568
Website:
Map and Directions

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 1508934126
LBN Legal business name Shadid, David L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Nov 22nd, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508934126 NPPES
Oklahoma MEDICAID 100129510A

Popular Providers