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ELITE MEDICAL CARE PLLC NPI 1396937082


NPI Information

NPI: 1396937082
Provider Name: ELITE MEDICAL CARE PLLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 37D2026530

Address:
3336 E. 32ND STREET
SUITE 200
TULSA, OK
ZIP 74135
Phone: (918) 742-4900
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ELITE MEDICAL CARE PLLC is an internal medicine in Tulsa, OK. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ELITE MEDICAL CARE PLLC NPI is 1396937082. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3336 E. 32ND STREET
SUITE 200
TULSA, OK
ZIP 74135-442
Phone: (918) 742-4900
Fax: (918) 742-4901

The provider's authorized official is Vishal Aggarwal .
The authorized official title is Member and has the following contact phone number (918) 742-4900.

The CLIA number assigned to this NPI record is 37D2026530 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 9/22/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine23724OKLAHOMAYes
2261Q00000XClinic/CenterNo
3261QM1300XClinic/CenterMulti-SpecialtyNo
4207RH0002XInternal MedicineHospice and Palliative MedicineOKLAHOMANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H73722MEDICARE UPINOKLAHOMA
220026000CMEDICAIDOKLAHOMA
3600522405MEDICARE PINOKLAHOMA
42001129820AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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