Organization
STATE OF OKLAHOMA
Active
Other names
Oklahoma State Department of Health TB Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GITANJALI PAI MD (CHIEF MEDICAL OFFICER)
(405) 426-8000
Entity
Organization
Contact information
Practice address
123 ROBERT S KERR AVE STE 1702, OKLAHOMA CITY, OK 73102-6406
(405) 426-8650
(405) 900-7498
Mailing address
123 ROBERT S KERR AVE STE 1702, OKLAHOMA CITY, OK 73102-6406
(405) 426-8650
(405) 900-7498
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728660C
—
OK
Enumeration date
03/23/2007
Last updated
08/16/2024
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