INNOVATIVE MEDICAL ASSOCIATES PLLC NPI 1407066228

NPI Information

  • NPI: 1407066228
  • Provider Name: INNOVATIVE MEDICAL ASSOCIATES PLLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 4301 NW 63RD ST
    SUITE 205
    OKLAHOMA CITY, OK
    ZIP 73116
  • Phone: (405) 242-6494

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NPI Details

INNOVATIVE MEDICAL ASSOCIATES PLLC is an internal medicine in Oklahoma City, 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. INNOVATIVE MEDICAL ASSOCIATES PLLC NPI is 1407066228. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4301 NW 63RD ST
SUITE 205
OKLAHOMA CITY, OK
ZIP 73116-549
Phone: (405) 242-6494
Fax: (405) 242-6496

The provider's authorized official is Vatsala Shah .
The authorized official title is Managing Partner and has the following contact phone number (405) 553-1540.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 1/7/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D34540MEDICARE UPINOKLAHOMA
2G46164MEDICARE UPINOKLAHOMA
3100748720AMEDICAIDOKLAHOMA
4700522018MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA

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: 3/30/2025

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