Provider Demographics
NPI:1609131077
Name:SAKARIAH, BIJI (APRN,CNP)
Entity Type:Individual
Prefix:
First Name:BIJI
Middle Name:
Last Name:SAKARIAH
Suffix:
Gender:F
Credentials:APRN,CNP
Other - Prefix:
Other - First Name:ATTUMALIL
Other - Middle Name:KURIAN
Other - Last Name:BIJI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 268919
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-8919
Mailing Address - Country:US
Mailing Address - Phone:405-608-4767
Mailing Address - Fax:405-607-2976
Practice Address - Street 1:4200 W MEMORIAL RD
Practice Address - Street 2:SUITE 410
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-9350
Practice Address - Country:US
Practice Address - Phone:405-608-4767
Practice Address - Fax:405-607-2976
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK67898363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOKA105046Medicare PIN