MEDICARE: SHELBY COLEMAN 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	207V00000X	Obstetrics & Gynecology Physician	26262	OK

General Provider Information

NPI Number	:	1205999638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY COLEMAN M.D.

Provider Business Mailing Address
First Line	:	6600 S YALE AVE
Second Line	:	#1200
City	:	TULSA
State	:	OK
Zip	:	74136-3310
Country	:	US
Telephone Number	:	918-488-6688
Fax Number	:

Provider Business Practice Location Address
First Line	:	10505 E 91ST ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-5801
Country	:	US
Telephone Number	:	918-488-6688
Fax Number	:

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

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	06/23/2008

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Directions to “ SHELBY COLEMAN M.D.” Practice Location

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