Tulsa Cardiology Clinic | |
2100 S Utica Ave Ste 202 Tulsa OK 74114-1437 | |
(918) 932-3836 | |
(918) 203-0027 |
Full Name | Tulsa Cardiology Clinic |
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Speciality | Internal Medicine |
Location | 2100 S Utica Ave Ste 202, Tulsa, Oklahoma |
Authorized Official Name and Position | Jawad Trad (OWNER) |
Authorized Official Contact | 4058805600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tulsa Cardiology Clinic 2100 S Utica Ave Ste 202 Tulsa OK 74114-1437 Ph: (918) 932-3836 | Tulsa Cardiology Clinic 2100 S Utica Ave Ste 202 Tulsa OK 74114-1437 Ph: (918) 932-3836 |
NPI Number | 1619711512 |
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Provider Enumeration Date | 06/24/2024 |
Last Update Date | 11/22/2024 |
Medicare PECOS PAC ID | 7416497243 |
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Medicare Enrollment ID | O20240909000247 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619711512 | NPI | - | NPPES |
201302020A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
Provider Name | Jawad M Trad |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1669770145 PECOS PAC ID: 5092946855 Enrollment ID: I20140320002097 |
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