Shawnee Heart Center INC

NPI #1548399637 in Shawnee, Oklahoma

Provider Information

NPI Number: 1548399637
Entity Type: Organization
Organization Name: Shawnee Heart Center INC
Primary Specialty: Specialist
Enumeration Date: Mar 5, 2007
Last Updated: Dec 15, 2010

Practice Location

Address: 3208 MEDICAL PARK DRIVE
City: Shawnee
State: Oklahoma
ZIP Code: 74804
Phone: (405) 273-0406

Authorized Official

Name: DR. SUDHIR K. GUPTA, M.D
Title: OWNER
Phone: (405) 273-0406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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