| NPI | 1740671106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKESH SHRIVASTAVA Owner / President 405-622-3063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 27981) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2022-07-21 |