Provider Demographics
NPI:1689718744
Name:OKLAHOMA MEDICAL SPECIALISTS LLC
Entity Type:Organization
Organization Name:OKLAHOMA MEDICAL SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAHEER
Authorized Official - Middle Name:U
Authorized Official - Last Name:BABER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-737-9820
Mailing Address - Street 1:8121 NATIONAL AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-7530
Mailing Address - Country:US
Mailing Address - Phone:405-737-9820
Mailing Address - Fax:405-733-0779
Practice Address - Street 1:8121 NATIONAL AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-7530
Practice Address - Country:US
Practice Address - Phone:405-737-9820
Practice Address - Fax:405-733-0779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11962207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty