Provider Demographics
NPI:1881882538
Name:BITANOR CORP
Entity type:Organization
Organization Name:BITANOR CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:NOORI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-759-2138
Mailing Address - Street 1:204 S. RIVERSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160
Mailing Address - Country:US
Mailing Address - Phone:405-759-2138
Mailing Address - Fax:405-799-6906
Practice Address - Street 1:204 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-1237
Practice Address - Country:US
Practice Address - Phone:405-799-6900
Practice Address - Fax:405-799-6906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK219212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200035170AMedicaid