Provider Demographics
NPI:1801800222
Name:PASRICHA, ALPANA JAVA (MD)
Entity type:Individual
Prefix:
First Name:ALPANA
Middle Name:JAVA
Last Name:PASRICHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6465 S YALE AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-7806
Mailing Address - Country:US
Mailing Address - Phone:918-582-3154
Mailing Address - Fax:
Practice Address - Street 1:6465 S YALE AVE STE 401
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7806
Practice Address - Country:US
Practice Address - Phone:918-582-3154
Practice Address - Fax:918-582-3593
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK23367207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200093120AMedicaid
MO182646OtherBLUE CROSS BLUE SHIELD
MO208777805Medicaid
P00177338OtherRAILROAD MEDICARE
KS0000104083OtherBLUE CROSS BLUE SHIELD
P00177338OtherRAILROAD MEDICARE
MO208777805Medicaid
MO902214325Medicare ID - Type Unspecified
KS200003590CMedicaid
H85012Medicare UPIN