| NPI | 1417034166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFTIKHAR AHMAD Owner 405-272-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 12063) |
| Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: OK 14498) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-05-06 |