Provider Demographics
NPI:1346237211
Name:TAHIRKHELI, NAEEM K (MD)
Entity Type:Individual
Prefix:DR
First Name:NAEEM
Middle Name:K
Last Name:TAHIRKHELI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 NW 85TH TER
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-3385
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5224 E I 240 SERVICE RD STE 201
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-2607
Practice Address - Country:US
Practice Address - Phone:405-608-3800
Practice Address - Fax:405-628-6794
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI35183207RC0000X
OK19422207RC0000X, 207RI0011X
WI351183207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK060070436OtherRAILROAD MEDICARE
OK100007670AMedicaid
OK24H616545Medicare PIN
OK24H616548Medicare PIN
OKOKA100650Medicare PIN
OKF82968Medicare UPIN
OK100007670AMedicaid