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1124693932
KAUSHAL SHAH
NORMAN, OK
NPI
1124693932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OK 38334)
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
KAUSHAL SHAH MD
900 E MAIN ST
NORMAN, OK 73071-5305
Phone number: 405-573-6602
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Mailing Address
KAUSHAL SHAH MD
PO BOX 151
NORMAN, OK 73070-0151
Phone number: 405-573-6602
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