Organization
HARESH K. AJMERA M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARESH K. AJMERA M.D. (PRESIDENT)
(918) 744-8115
Entity
Organization
Contact information
Practice address
2325 S HARVARD AVE STE 301, TULSA, OK 74114-3307
(918) 744-8115
(918) 744-8117
Mailing address
2325 S HARVARD AVE STE 301, TULSA, OK 74114-3307
(918) 744-8115
(918) 744-8117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10644
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100732990A
—
OK
Enumeration date
01/28/2008
Last updated
01/28/2008
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