| Ali Nawaz Llc | |
|
2940 Hunter Crest Dr Edmond OK 73034-0021 | |
| (917) 558-4195 | |
| Not Available |
| Full Name | Ali Nawaz Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2940 Hunter Crest Dr, Edmond, Oklahoma |
| Authorized Official Name and Position | Ali Tipu (OWNER AND CEO) |
| Authorized Official Contact | 9175584195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ali Nawaz Llc 2940 Hunter Crest Dr Edmond OK 73034-0021 Ph: () - | Ali Nawaz Llc 2940 Hunter Crest Dr Edmond OK 73034-0021 Ph: (917) 558-4195 |
| NPI Number | 1013725977 |
|---|---|
| Provider Enumeration Date | 12/24/2024 |
| Last Update Date | 04/10/2025 |
| Medicare PECOS PAC ID | 6709304462 |
|---|---|
| Medicare Enrollment ID | O20250515003579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013725977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Ali Tipu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518218304 PECOS PAC ID: 2264675925 Enrollment ID: I20140217000601 |
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