Organization
RODI LLC
Active
Parent organization
RODI LLC
Other names
rodi llc
Organization subpart
Yes
Provider details
NPI number
Legal business name
RODI LLC
Authorized official
AHMAD DIRAWI (CLINIC ADMIN)
(918) 893-3535
Entity
Organization
Contact information
Practice address
8316 E 61ST ST STE 101-AA, TULSA, OK 74133-1910
(918) 893-3535
(918) 893-3570
Mailing address
8316 E 61ST ST STE 101-AA, TULSA, OK 74133-1910
(918) 893-3535
(918) 893-3570
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200623310A
—
OK
Enumeration date
07/30/2018
Last updated
07/30/2018
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