Sandeep N Shah (NPI# 1154362770, PAC ID# 2567466527) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1154362770 |
| PAC ID by PECOS | 2567466527 |
| Professional Enrollment ID | I20080616000645 |
| Full Name | Sandeep N Shah |
| Organization Legal Name | RETINA VITREOUS CENTER, PLLC |
| Address |
1008 Nw 139th St Pkwy Edmond OK 73013-9791 |
| Phone Number | 4056076699 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3375712763 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370225 | SUMMIT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1008 Nw 139th St Pkwy, Edmond, OK 73013-9791 | 4056076699 | RETINA VITREOUS CENTER, PLLC |
| 1710 W 3rd St, Suite 100, Elk City, OK 73644-5160 | 4056076699 | RETINA VITREOUS CENTER, PLLC |
| 1455 S Douglas Blvd, Suite A, Midwest City, OK 73130-5269 | 4056076699 | RETINA VITREOUS CENTER, PLLC |
| Organization Legal Name | RETINA VITREOUS CENTER, PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael P Hood | Ophthalmology | Retina Vitreous Center, Pllc | 1411 W 12th Ave, Suite C, Stillwater, OK 74074-5425 |
| Brian S Phelps | Ophthalmology | Retina Vitreous Center, Pllc | 1008 Nw 139th St Pkwy, Edmond, OK 73013-9791 |
| Ryan M Ridges | Ophthalmology | Retina Vitreous Center, Pllc | 1008 Nw 139th St Pkwy, Edmond, OK 73013-9791 |
| Street Address |
1008 NW 139TH ST PKWY |
| City | EDMOND |
| State | OK |
| Zip | 73013-9791 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian S Phelps | Ophthalmology | Retina Vitreous Center, Pllc | 1008 Nw 139th St Pkwy, Edmond, OK 73013-9791 |
| Ryan M Ridges | Ophthalmology | Retina Vitreous Center, Pllc | 1008 Nw 139th St Pkwy, Edmond, OK 73013-9791 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Senthil K Raju | Family Medicine | 11824 Slash Pine Dr, Edmond, OK 73013-0462 | |
| Dinah S Cloud | Psychologist, Clinical | 929 Nw 164th St, Suite 111, Edmond, OK 73013-1002 | |
| Lori A Fredrick | Diagnostic Radiology | Board of Regents of The University of Oklahoma - Ou Physicians | 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039 |
| Joseph Davey | Orthopedic Surgery | Board of Regents of The University of Oklahoma - Ou Physicians | 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039 |
| Sara Kathleen Watson | Family Medicine | Board of Regents of The University of Oklahoma - Ou Physicians | 14101 N Eastern Ave, Ou Physicians At Edmond, Edmond, OK 73013-1039 |
| Neadum B Odum | Chiropractic | 15100 Traditions Blvd, Suite 1, Edmond, OK 73013-1184 | |
| Ashley D Mathias | Nurse Practitioner | James Avery Rush Iv Md Pa | 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198 |
| Tanya M Rennie | Nurse Practitioner | James Avery Rush Iv Md Pa | 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198 |
| Michael Daniel Spieker | Nurse Practitioner | James Avery Rush Iv Md Pa | 15205 Traditions Lake Pkwy, Edmond, OK 73013-1198 |
| Amer B Nouh | Neurology | 1417 Nw 150th St, Neuro Pain Care, Edmond, OK 73013-1305 | |
| Find all physicians in zip 73013 | |||
| City | EDMOND |
| Zip Code | 73013 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | EDMOND + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Sandeep N Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.