Provider Demographics
NPI:1811208119
Name:ASIM CHOHAN MD PC
Entity Type:Organization
Organization Name:ASIM CHOHAN MD PC
Other - Org Name:CARDIOVASCULAR CARE SPECIALIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:ASIM
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHOHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-733-9500
Mailing Address - Street 1:8121 NATIONAL AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-7530
Mailing Address - Country:US
Mailing Address - Phone:405-733-9500
Mailing Address - Fax:405-732-1060
Practice Address - Street 1:8121 NATIONAL AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-7530
Practice Address - Country:US
Practice Address - Phone:405-733-9500
Practice Address - Fax:405-732-1060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18116174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100066870AMedicaid
OK100066870AMedicaid
100066870AMedicare PIN