OKWA PEDS NPI 1922262047

NPI Information

NPI: 1922262047
Provider Name: OKWA PEDS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1211 N SHARTEL AVE
STE 606
OKLAHOMA CITY, OK
ZIP 73103
Phone: (405) 235-9955
Get Directions

OKWA PEDS is a primary care clinic center in Oklahoma City, OK. OKWA PEDS NPI is 1922262047. The provider is registered as an organization entity type.

The provider's business location address is:

1211 N SHARTEL AVE
STE 606
OKLAHOMA CITY, OK
ZIP 73103-400
Phone: (405) 235-9955

The provider's authorized official is Wazir S Ahmad .
The authorized official title is Owner and has the following contact phone number (405) 235-9955.

The enumeration date for this NPI number is 7/17/2008 and was last updated on 7/17/2008.

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	261QP2300X	Clinic/Center	Primary Care	12461	OKLAHOMA	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	100118340B	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: 5/5/2024

NPI Synchronization or Removal

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