Provider Demographics
NPI:1316534654
Name:SNP FERTILITY OKC
Entity Type:Organization
Organization Name:SNP FERTILITY OKC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAURIN
Authorized Official - Middle Name:N
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-706-7694
Mailing Address - Street 1:3705 W MEMORIAL RD STE 1410
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-1515
Mailing Address - Country:US
Mailing Address - Phone:405-286-2666
Mailing Address - Fax:405-286-2605
Practice Address - Street 1:3705 W MEMORIAL RD STE 1410
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-1515
Practice Address - Country:US
Practice Address - Phone:405-286-2666
Practice Address - Fax:405-286-2605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK27317OtherBOARD OF MEDICINE