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

Fysal Shennib, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275158628

Fysal Shennib, MD is a Pathology in Tulsa, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2020, 6 years ago. Practices with Pathology Laboratory Associates, Inc, a 25-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
University of Oklahoma College of Medicine
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4142 S Mingo Rd
Tulsa, OK 74146-3632
Phone: (918) 417-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2800 Plymouth Rd # 35-1411, Ann Arbor, MI 48109-2800 — (734) 764-3270
  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 — (734) 936-4000

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 4301511023 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4351046806 (MI)

Record details

NPI number1275158628
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2020
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Pathology Laboratory Associates, Inc. — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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