Shawn a Khavari, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

24662 Issued in OK

Legal business name

SHAWN A KHAVARI, PLLC

Practice address

3444 S Boulevard
Edmond, OK 73013-5482

Phone

(405) 285-2260

Fax

(405) 285-2280

NPI assigned

May 24, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shawn A Khavari, M.D.

Title

Owner

Phone

(405) 285-2260

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1881913358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268866",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268866",
            "telephone_number": "405-310-4192",
            "fax_number": "405-310-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 S BOULEVARD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135482",
            "telephone_number": "405-285-2260",
            "fax_number": "405-285-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN A KHAVARI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "KHAVARI",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-285-2260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "24662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.