Individual
DR. AHMED BILAL BUKSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2553 S KELLY AVE, SUITE 100, EDMOND, OK 73013-3888
(405) 285-7408
(405) 340-7077
Mailing address
2553 S KELLY AVE, SUITE 100, EDMOND, OK 73013-3888
(405) 285-7408
(405) 340-7077
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
199
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3903200001
MEDICARE DMERC
OK
Enumeration date
05/30/2006
Last updated
03/06/2024
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