MEDICARE: SHADI SALEEM M.D.

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	2085P0229X	Pediatric Radiology Physician	27266	OK
2	2085R0204X	Vascular & Interventional Radiology Physician	27266	OK

General Provider Information

NPI Number	:	1871749721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHADI SALEEM M.D.

Provider Business Mailing Address
First Line	:	940 NE 13TH ST # 4G4250
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5008
Country	:	US
Telephone Number	:	405-271-5125
Fax Number	:	405-271-3462

Provider Business Practice Location Address
First Line	:	940 NE 13TH ST # 4G4250
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5008
Country	:	US
Telephone Number	:	405-271-5125
Fax Number	:	405-271-3462

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

Provider Enumeration Date	:	08/12/2008
Last Update Date	:	03/16/2026

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Directions to “ SHADI SALEEM M.D.” Practice Location

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