Basic Information
Provider Information
NPI: 1629071543
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALGAN
FirstName: SHEILA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1122 NE 13TH ST
Address2: ORI 236
City: OKLAHOMA CITY
State: OK
PostalCode: 731171039
CountryCode: US
TelephoneNumber: 4052712663
FaxNumber: 4052716762
Practice Location
Address1: 825 NE 10TH ST
Address2: OUPB1300
City: OKLAHOMA CITY
State: OK
PostalCode: 731045417
CountryCode: US
TelephoneNumber: 4052712663
FaxNumber: 4052716762
Other Information
ProviderEnumerationDate: 05/24/2005
LastUpdateDate: 06/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XMD24018ORN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X25626OKY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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