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NPI Code Detail

MEDICARE: DR. SHRUTI MONY MD

MEDICARE: DR. SHRUTI MONY 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
1207RG0100XGastroenterology Physician39864OK
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1548675572
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHRUTI MONY MD
Provider Business Mailing Address
First Line : 800 STANTON L YOUNG BLVD STE 7466
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5018
Country : US
Telephone Number : 405-271-8001
Fax Number : 405-271-5803
Provider Business Practice Location Address
First Line : 800 STANTON L YOUNG BLVD STE 7466
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5018
Country : US
Telephone Number : 405-271-8001
Fax Number : 405-271-5803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2014
Last Update Date : 10/26/2022

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