Organization
GREENWOOD MEDICAL GROUP PLLC
Active
Other names
Greenwood Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JABRAAN S PASHA MD (PARTNER)
(918) 816-1676
Entity
Organization
Contact information
Practice address
21 N GREENWOOD AVE STE 1, TULSA, OK 74120-1999
(918) 816-1676
Mailing address
3347 S UTICA AVE, TULSA, OK 74105-2710
(918) 816-1676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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