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1770585325

NPI Code Detail

MEDICARE: MUHAMMAD IMRAN SHAUKAT MD

MEDICARE: MUHAMMAD IMRAN SHAUKAT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	24180	OK
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	24180	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	37-1834	OTHER	OK	MEDICARE
6	37-1803	OTHER	OK	MEDICARE
8	37-1832	OTHER	OK	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770585325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD IMRAN SHAUKAT MD

Provider Business Mailing Address
First Line	:	1145 S UTICA AVE
Second Line	:	SUITE 110
City	:	TULSA
State	:	OK
Zip	:	74104-4013
Country	:	US
Telephone Number	:	918-579-3826
Fax Number	:	918-579-1262

Provider Business Practice Location Address
First Line	:	8801 S 101ST EAST AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-5716
Country	:	US
Telephone Number	:	918-232-6915
Fax Number	:	918-298-2355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	11/01/2016

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Directions to “ MUHAMMAD IMRAN SHAUKAT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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