Provider Demographics
NPI:1013951409
Name:SHAH, VINAY ASHOK (MD)
Entity type:Individual
Prefix:
First Name:VINAY
Middle Name:ASHOK
Last Name:SHAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3037 NW 63RD ST STE W251
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-3637
Mailing Address - Country:US
Mailing Address - Phone:405-691-0505
Mailing Address - Fax:405-691-0507
Practice Address - Street 1:9821 S MAY AVE STE C
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7042
Practice Address - Country:US
Practice Address - Phone:405-691-0505
Practice Address - Fax:405-691-0507
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK28311207WX0107X, 207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200344830AMedicaid
OK200344830BMedicaid