Provider profile

Individual

Shawn D Grant

Radiology in Tulsa, OK. NPI 1043214497, listed in the CMS NPI Registry since 06/13/2005. Bills Medicare.

NPI 1043214497Specialty RadiologyEnumerated 06/13/2005
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Registry and Medicare facts

Practice location
1120 S Utica Ave, Tulsa, OK 74104
CMS NPI Registry
Phone
(918) 579-7720
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
06/13/2005
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
3,879 Part B
CMS Medicare 2024

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