Active NPI
Amathul Azeem Shakir, M.D.
- Anesthesiology Physician
- Oklahoma City, OK
National Provider Identifier
1306947767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 12648
- Practice address
- 1435 N Rockwell Ave
Oklahoma City, OK 73127-3348 - Phone
- (405) 495-3586
- Fax
- (405) 495-3597
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 12648 | OK | Primary |
Addresses
Primary practice location
1435 N Rockwell Ave
Oklahoma City, OK 73127-3348
Mailing address
1435 N Rockwell Ave
Oklahoma City, OK 73127-3348
Phone (405) 495-3586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100013230A | Medicaid | OK |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12648 | OK | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1306947767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 N ROCKWELL AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731273348",
"telephone_number": "405-495-3586",
"fax_number": "405-495-3597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 N ROCKWELL AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731273348",
"telephone_number": "405-495-3586",
"fax_number": "405-495-3597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKIR",
"first_name": "AMATHUL",
"middle_name": "AZEEM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "12648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100013230A",
"state": "OK"
}
],
"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 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.