Organization · Type 2 NPI
Shadfar Facial Plastic Surgery LLC
Otolaryngology/Facial Plastic Surgery Physician · Edmond, OK
NPI number
1396636031
Active
Practice location
4509 Integris Pkwy Ste 350
Edmond, OK 73034-8696
Fax (405) 657-3896
Mailing address
225 Nature Ln
Edmond, OK 73034-3461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | None listed |
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | None listed |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Another provider at this address
About NPI 1396636031
Shadfar Facial Plastic Surgery LLC's National Provider Identifier is 1396636031, issued on Jul 11, 2025. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Edmond, OK. The record was last updated on Jul 11, 2025.