Provider Demographics
NPI:1760457246
Name:SHAW, DENISE L (MD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:L
Last Name:SHAW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6600 S YALE AVE
Mailing Address - Street 2:STE 1400
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3310
Mailing Address - Country:US
Mailing Address - Phone:918-488-6001
Mailing Address - Fax:918-488-6010
Practice Address - Street 1:6465 S YALE AVE STE 815
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7820
Practice Address - Country:US
Practice Address - Phone:918-502-4848
Practice Address - Fax:918-502-4850
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2021-04-12
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Provider Licenses
StateLicense IDTaxonomies
OK17672207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKF00914Medicare UPIN