Provider Demographics
NPI:1780723130
Name:WALIA, ATUL A (DO)
Entity type:Individual
Prefix:
First Name:ATUL
Middle Name:A
Last Name:WALIA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-945-4359
Mailing Address - Fax:405-949-6826
Practice Address - Street 1:3366 NW EXPRESSWAY
Practice Address - Street 2:SUITE 720
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4462
Practice Address - Country:US
Practice Address - Phone:405-945-4359
Practice Address - Fax:405-949-6826
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2018-02-07
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Provider Licenses
StateLicense IDTaxonomies
OK4338207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology