Provider Demographics
NPI:1497242473
Name:MUZAFFAR, BILAL AHMED (MD)
Entity Type:Individual
Prefix:
First Name:BILAL
Middle Name:AHMED
Last Name:MUZAFFAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6600 S YALE AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3331
Mailing Address - Country:US
Mailing Address - Phone:888-247-0125
Mailing Address - Fax:918-502-8210
Practice Address - Street 1:10507 E 91ST ST STE 250
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5566
Practice Address - Country:US
Practice Address - Phone:918-307-5560
Practice Address - Fax:918-307-5561
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2023-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK40071207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK201102970AMedicaid