Healthcare Provider Details

I. General information

NPI: 1811125388
Provider Name (Legal Business Name): OKLAHOMA SLEEP LUNG AND CRITICAL CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2009
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5608 SE 67TH ST STE 106
OKLAHOMA CITY OK
73135-1719
US

IV. Provider business mailing address

PO BOX 966
NORMAN OK
73070-0966
US

V. Phone/Fax

Practice location:
  • Phone: 405-757-0150
  • Fax: 877-669-0254
Mailing address:
  • Phone: 405-757-0150
  • Fax: 877-669-0254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number22396
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number22396
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number22396
License Number StateOK

VIII. Authorized Official

Name: DR. SHOAB AHMED NAZIR
Title or Position: SOLE OWNER
Credential: M.D.
Phone: 405-473-9052