Provider Demographics
NPI:1639709504
Name:VIRANI, SHEHNAZ
Entity type:Individual
Prefix:
First Name:SHEHNAZ
Middle Name:
Last Name:VIRANI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2990 SE 19TH ST STE 6
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-9659
Mailing Address - Country:US
Mailing Address - Phone:405-308-8008
Mailing Address - Fax:405-463-1477
Practice Address - Street 1:2990 SE 19TH ST STE 6
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-9659
Practice Address - Country:US
Practice Address - Phone:405-252-5522
Practice Address - Fax:405-463-1477
Is Sole Proprietor?:No
Enumeration Date:2020-01-20
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0118938363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily