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Organization

ELITE MEDICAL CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VISHAL AGGARWAL MD (MEMBER)
(918) 742-4900
Entity
Organization

Contact information

Practice address
3336 E. 32ND STREET, SUITE 200, TULSA, OK 74135-4442
(918) 742-4900
(918) 742-4901
Mailing address
3336 E. 32ND STREET, SUITE 200, TULSA, OK 74135-4442
(918) 742-4900
(918) 742-4901

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23724
OK
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
OK
261Q00000X
Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2001129820A
OK
05
20026000C
OK
Enumeration date
08/16/2007
Last updated
09/22/2017
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