Yamane, Shane S.

Yamane, Shane S. is an individual health care provider with primary practice located at 802 S Jackson Ave Ste 225 , Tulsa OK 74127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Yamane, Shane S. can be contacted via phone (918) 582-7711.

Contact Information

Primary practice address
802 S Jackson Ave Ste 225 Tulsa OK 74127
Phone: (918) 582-7711
Fax: (918) 583-5831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 30044 Oklahoma

Profile Details

NPI number 1336102342
LBN Legal business name Yamane, Shane S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Aug 16th, 2018 - about 7 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 1336102342 NPPES
Oklahoma Other 555969YLFB MEDICARE
Oklahoma MEDICAID 200525770A MEDICARE

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