Provider Demographics
NPI:1588680367
Name:SHAKIR, AFSHAN (MD)
Entity Type:Individual
Prefix:
First Name:AFSHAN
Middle Name:
Last Name:SHAKIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 S AIR DEPOT BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-4475
Mailing Address - Country:US
Mailing Address - Phone:405-732-3700
Mailing Address - Fax:405-732-3700
Practice Address - Street 1:412 S AIR DEPOT BLVD
Practice Address - Street 2:STE A
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-4475
Practice Address - Country:US
Practice Address - Phone:405-732-3700
Practice Address - Fax:405-455-2280
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18291207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G59759Medicare UPIN