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NPI Code Detail

MEDICARE: DR. AMINATU JAMILA SHEHU M.D.

MEDICARE: DR. AMINATU JAMILA SHEHU 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
1207P00000XEmergency Medicine PhysicianG80784CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396785713
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMINATU JAMILA SHEHU M.D.
Provider Business Mailing Address
First Line : 4401 W MEMORIAL RD STE 121
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-1722
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3828 DELMAS TER
Second Line :
City : CULVER CITY
State : CA
Zip : 90232-2713
Country : US
Telephone Number : 310-202-4745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 10/11/2018

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