| Optimum Primary Care Pllc | |
|
1501 E 19th St Edmond OK 73013-6618 | |
| (405) 471-6511 | |
| Not Available |
| Full Name | Optimum Primary Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1501 E 19th St, Edmond, Oklahoma |
| Authorized Official Name and Position | Muhammad Sanaullah (CEO) |
| Authorized Official Contact | 4053676180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Primary Care Pllc 1501 E 19th St Edmond OK 73013-6618 Ph: (405) 367-6180 | Optimum Primary Care Pllc 1501 E 19th St Edmond OK 73013-6618 Ph: (405) 471-6511 |
| NPI Number | 1760030399 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 07/09/2026 |
| Medicare PECOS PAC ID | 2264853928 |
|---|---|
| Medicare Enrollment ID | O20200604001174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760030399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Secondary |
| Provider Name | Muhammad Sanaullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699079400 PECOS PAC ID: 0345412656 Enrollment ID: I20111011000155 |
| Provider Name | Susan Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801134390 PECOS PAC ID: 5395980577 Enrollment ID: I20130315000328 |
| Provider Name | Saqib S Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326366899 PECOS PAC ID: 0749474450 Enrollment ID: I20131223001347 |
| Provider Name | Munawar Ali |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508960030 PECOS PAC ID: 5395977151 Enrollment ID: I20140409000764 |
| Provider Name | Matthew Kenneth Loeber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295135341 PECOS PAC ID: 6800018730 Enrollment ID: I20141110001602 |
| Provider Name | Nicole D Cornish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003296492 PECOS PAC ID: 2163737743 Enrollment ID: I20150811004527 |
| Provider Name | Ayesha Mughal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811243009 PECOS PAC ID: 2365663325 Enrollment ID: I20170123002465 |
| Provider Name | Fawad Aleem Chaudry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467656686 PECOS PAC ID: 9032265137 Enrollment ID: I20181016002303 |
| Provider Name | Tammie A Lockhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467938258 PECOS PAC ID: 0244583755 Enrollment ID: I20181031001028 |
| Provider Name | Ayesha Chaudry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962755744 PECOS PAC ID: 2860794492 Enrollment ID: I20200604001636 |
| Provider Name | Ebelechukwu Ekwenugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710535398 PECOS PAC ID: 3375979289 Enrollment ID: I20201103001128 |
| Provider Name | Binita Ghimire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992380158 PECOS PAC ID: 7810383247 Enrollment ID: I20220411001983 |
| Provider Name | Gabrielle Michelle Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477265866 PECOS PAC ID: 6608226501 Enrollment ID: I20231219000100 |
| Provider Name | Adil H.a Tumbi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003177700 PECOS PAC ID: 0547559916 Enrollment ID: I20240124003602 |
| Provider Name | Venessa Emma Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437781283 PECOS PAC ID: 2961829932 Enrollment ID: I20240430000567 |
| Provider Name | Iba Al Wohoush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659684579 PECOS PAC ID: 3375787740 Enrollment ID: I20250416001387 |
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