Provider Demographics
NPI:1386653590
Name:WRIGHT, HARLAN I (MD)
Entity Type:Individual
Prefix:DR
First Name:HARLAN
Middle Name:I
Last Name:WRIGHT
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 1:920 NE 13TH ST # 3000
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5008
Mailing Address - Country:US
Mailing Address - Phone:405-271-7498
Mailing Address - Fax:405-271-4329
Practice Address - Street 1:920 NE 13TH ST # 3000
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5008
Practice Address - Country:US
Practice Address - Phone:405-271-7498
Practice Address - Fax:405-271-4329
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18523207RI0008X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100033780AMedicaid
F61066Medicare UPIN
OKOKA100039Medicare PIN
OK100033780AMedicaid
OKF61066Medicare UPIN