Individual
BILAL AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31870 OKLAHOMA 51, KOWETA INDIAN HEALTH CENTER, COWETA, OK 74429
(918) 279-3200
Mailing address
5835 E 46TH PL, TULSA, OK 74135-6840
(918) 978-2242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29297
OK
208M00000X
Hospitalist Physician
Primary
29297
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200452520A
—
OK
01
—
261697ZQTH
MEDICARE
OK
Enumeration date
12/12/2012
Last updated
11/11/2021
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