MEDICARE: SHOAB NAZIR 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	22396	OK
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	22396	OK
3	207RP1001X	Pulmonary Disease Physician	22396	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00243148	OTHER	AR	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992895478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHOAB NAZIR MD

Provider Business Mailing Address
First Line	:	PO BOX 966
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73070-0966
Country	:	US
Telephone Number	:	405-757-0150
Fax Number	:	877-669-0254

Provider Business Practice Location Address
First Line	:	5608 SE 67TH ST STE 106
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-1719
Country	:	US
Telephone Number	:	405-757-0150
Fax Number	:	877-669-0254

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	07/29/2022

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Directions to “ SHOAB NAZIR MD” Practice Location

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