Provider Demographics
NPI:1689946360
Name:MARSHA NAHRA, MD, P.C.
Entity Type:Organization
Organization Name:MARSHA NAHRA, MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAHRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-502-4580
Mailing Address - Street 1:6465 S YALE AVE
Mailing Address - Street 2:STE 515
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-7823
Mailing Address - Country:US
Mailing Address - Phone:918-502-4580
Mailing Address - Fax:918-502-4520
Practice Address - Street 1:6465 S YALE AVE
Practice Address - Street 2:STE 515
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7823
Practice Address - Country:US
Practice Address - Phone:918-502-4580
Practice Address - Fax:918-502-4520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK21143207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty