Organization
ELITE MEDICAL CARE PLLC
Active
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
Update your record
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