Healthcare Provider Details

I. General information

NPI: 1770993701
Provider Name (Legal Business Name): OBGYN CARE OF OKLAHOMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2014
Last Update Date: 06/18/2021
Certification Date: 06/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3427 NW 50TH ST 2ND FLOOR
OKLAHOMA CITY OK
73112
US

IV. Provider business mailing address

3427 NW 50TH ST 2ND FLOOR
OKLAHOMA CITY OK
73112
US

V. Phone/Fax

Practice location:
  • Phone: 405-930-3496
  • Fax: 405-702-8665
Mailing address:
  • Phone: 405-930-3496
  • Fax: 405-702-8665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number27317
License Number StateOK

VIII. Authorized Official

Name: DR. SHAURIN N PATEL
Title or Position: OWNER
Credential: MD
Phone: 405-706-7694