Provider Demographics
NPI:1184609455
Name:INTERNAL MEDICIINE ASSOCIATES OF OKLAHOMA CITY, P.L.L.C
Entity type:Organization
Organization Name:INTERNAL MEDICIINE ASSOCIATES OF OKLAHOMA CITY, P.L.L.C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PRASAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-604-0688
Mailing Address - Street 1:3330 NW 56TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4426
Mailing Address - Country:US
Mailing Address - Phone:405-604-0688
Mailing Address - Fax:405-604-0689
Practice Address - Street 1:3613 NW 56TH ST STE 318
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4524
Practice Address - Country:US
Practice Address - Phone:405-604-0688
Practice Address - Fax:405-604-0689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty