| Kanan Vinay Shah, MD | |
|
3448 Nw 172nd Ter, Edmond, OK 73012-7098 | |
| (913) 378-7407 | |
| Not Available |
| Full Name | Kanan Vinay Shah |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 3448 Nw 172nd Ter, Edmond, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629275680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28709 (Oklahoma) | Primary |
| Entity Name | Integris Ambulatory Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
| Entity Name | Ou Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Kanan Vinay Shah, MD 3448 Nw 172nd Ter, Edmond, OK 73012-7098 Ph: () - | Kanan Vinay Shah, MD 3448 Nw 172nd Ter, Edmond, OK 73012-7098 Ph: (913) 378-7407 |
Dr. Kelsey Keoppel, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4509 Integris Pkwy Ste 200, Edmond, OK 73034 Phone: 405-657-3950 Fax: 405-471-0040 | |
Mrs. Chelsea Renee Lowery, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2557 Old Timbers Dr., Edmond, OK 73034 Phone: 405-669-2600 Fax: 405-500-1232 | |
Dr. Franklin Cleo Davis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-1184 | |
Dr. Sara Elaine Burnett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-2100 | |
Carla A Werner, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 16400 N May Ave, Edmond, OK 73013 Phone: 405-471-6800 Fax: 405-471-6811 | |
Dr. Jenny Le, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2611 Kelley Pointe Pkwy, Edmond, OK 73013 Phone: 405-359-0919 | |
Julia Vang, APRN-CNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1601 S Boulevard Ste 108, Edmond, OK 73013 Phone: 405-348-9904 Fax: 833-470-1448 |