Provider Demographics
NPI:1992895478
Name:NAZIR, SHOAB (MD)
Entity type:Individual
Prefix:
First Name:SHOAB
Middle Name:
Last Name:NAZIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-0966
Mailing Address - Country:US
Mailing Address - Phone:405-757-0150
Mailing Address - Fax:877-669-0254
Practice Address - Street 1:5608 SE 67TH ST STE 106
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-1719
Practice Address - Country:US
Practice Address - Phone:405-757-0150
Practice Address - Fax:877-669-0254
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK22396207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP00243148OtherRAILROAD MEDICARE
AR158304001Medicaid
ARP00243148OtherRAILROAD MEDICARE
OKOK7007709Medicare PIN
AR158304001Medicaid