Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shoolin LLC

Organization Internal Medicine Physician · NPI 1972012722

Shoolin LLC is an Internal Medicine Physician in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2017.

Licensed in
OK
In the registry since
2017
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 S Bryant Ave Ste 101
Edmond, OK 73034-6330
Phone: (405) 861-0004
Fax: (855) 680-8890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 27981 (OK)
Internal Medicine Physician Taxonomy 207R00000X · Licence 27981 (OK)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 27981 (OK)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 27981 (OK)

Record details

NPI number1972012722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rakesh Shrivastava — Owner · (405) 642-8613
NPI enumeratedSeptember 25, 2017
Last updated in NPPESFebruary 16, 2022
Certification dateFebruary 16, 2022
Mailing addressPo Box 8350, Edmond, OK 73083-8350

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