Provider Demographics
NPI:1457790388
Name:SHAKIR, ASIYA KHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ASIYA
Middle Name:KHAN
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 1:1200 CHILDRENS AVE
Mailing Address - Street 2:OUCP 14400
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-4637
Mailing Address - Country:US
Mailing Address - Phone:405-271-5312
Mailing Address - Fax:
Practice Address - Street 1:5445 MERIDIAN MARKS RD STE 490
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4794
Practice Address - Country:US
Practice Address - Phone:404-843-6320
Practice Address - Fax:404-843-6321
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK321282080P0206X
GA837862080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology