Provider Demographics
NPI:1326047226
Name:SHOLER, CHRIS M (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:M
Last Name:SHOLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21556
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73156-1556
Mailing Address - Country:US
Mailing Address - Phone:405-842-8298
Mailing Address - Fax:405-842-8697
Practice Address - Street 1:4334 NW EXPRESSWAY STE 106
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1515
Practice Address - Country:US
Practice Address - Phone:405-842-8298
Practice Address - Fax:405-842-8697
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11825207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100221930AMedicaid
OKP00299657OtherRAILROAD MEDICARE
OKC95483Medicare UPIN