MEDICARE: OKLAHOMA SLEEP LUNG AND CRITICAL CARE PLLC

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	22396	OK
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	22396	OK
3	207RP1001X	Pulmonary Disease Physician	22396	OK

General Provider Information

NPI Number	:	1811125388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OKLAHOMA SLEEP LUNG AND CRITICAL CARE PLLC

Provider Business Mailing Address
First Line	:	PO BOX 966
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73070-0966
Country	:	US
Telephone Number	:	405-757-0150
Fax Number	:	877-669-0254

Provider Business Practice Location Address
First Line	:	5608 SE 67TH ST STE 106
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-1719
Country	:	US
Telephone Number	:	405-757-0150
Fax Number	:	877-669-0254

Authorized Official
Title or Position	:	SOLE OWNER
Name	:	DR. SHOAB AHMED NAZIR
Credential	:	M.D.
Telephone Number	:	405-473-9052

Provider Enumeration Date	:	06/23/2009
Last Update Date	:	07/25/2025

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