Individual
DR. ALIAKBER F. AKBERALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
Mailing address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4956
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100188820A
—
OK
01
—
100732910-A
GROUP MEDICAID/SOONERCARE
OK
01
—
100732910-G
GROUP MEDICAID/SOONERCARE
OK
01
—
73-1042545
GROUP MEDICARE
OK
01
—
731042545001
GROUP TRICARE
OK
Enumeration date
08/31/2006
Last updated
06/17/2015
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