Active NPI
Pratibha R Shah, M.D.
- Pediatrics Physician
- Tulsa, OK
National Provider Identifier
1477528651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 13003
- Practice address
- 8414 E 101St St
Tulsa, OK 74133-6919 - Phone
- (918) 399-3200
- Fax
- (918) 369-3209
- NPI assigned
- Feb 21, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 13003 | OK | Primary |
Addresses
Primary practice location
8414 E 101St St
Tulsa, OK 74133-6919
Mailing address
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136-3310
Phone (918) 488-6001
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 |
|---|---|---|---|
| 13003 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1477528651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE",
"address_2": "STE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363310",
"telephone_number": "918-488-6001",
"fax_number": "918-488-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8414 E 101ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741336919",
"telephone_number": "918-399-3200",
"fax_number": "918-369-3209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PRATIBHA",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "13003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.