Active NPI
Shawhin Rostam Kadivar Shahriari, MD
- Orthopaedic Hand Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1245735901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 43313
- Practice address
- 3300 NW Expwy
Oklahoma City, OK 73112-4418 - Phone
- (405) 951-2272
- NPI assigned
- Mar 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | 43313 | OK | Primary |
Addresses
Primary practice location
3300 NW Expwy
Oklahoma City, OK 73112-4418
Mailing address
520 NW 176TH Ter
Edmond, OK 73012-0685
Phone (310) 221-1481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43313 | OK | MD | Orthopaedic Hand Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1245735901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 NW 176TH TER",
"city": "EDMOND",
"state": "OK",
"postal_code": "730120685",
"telephone_number": "310-221-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 NW EXPWY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124418",
"telephone_number": "405-951-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHRIARI",
"first_name": "SHAWHIN",
"middle_name": "ROSTAM KADIVAR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-26",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "OK",
"license": "43313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.