Search › Oklahoma › 363A00000X
Shannan Carmouche, PA
NPI 1770560161 · on the registry since 2005 · sole proprietor
Practice
- Address
- 9800 Broadway Extension
Suite 203
Oklahoma City, OK 73114 - Phone
- (405) 419-5412
- Fax
- (405) 419-5468
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 208600000X
2086S0129X
363AM0700X - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-02-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma