INTERNAL MEDICINE & GERIATRIC PRACTICE PC NPI 1609929660

NPI Information

NPI: 1609929660
Provider Name: INTERNAL MEDICINE & GERIATRIC PRACTICE, PC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
4400 WILLOW GROVE DR
NORMAN, OK
ZIP 73072
Phone: (405) 310-9345
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INTERNAL MEDICINE & GERIATRIC PRACTICE, PC is a health service clinic center in Norman, OK. INTERNAL MEDICINE & GERIATRIC PRACTICE, PC NPI is 1609929660. The provider is registered as an organization entity type.

The provider's business location address is:

4400 WILLOW GROVE DR
NORMAN, OK
ZIP 73072-910
Phone: (405) 310-9345
Fax: (405) 337-9650

The provider's authorized official is Lakshmi Ramakrishnan .
The authorized official title is Owner and has the following contact phone number (405) 310-9345.

The enumeration date for this NPI number is 1/20/2007 and was last updated on 6/27/2021.

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
1	261QH0100X	Clinic/Center	Health Service			Yes

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
1	100846810A	MEDICAID	OKLAHOMA

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: 11/14/2023

NPI Synchronization or Removal

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