Organization
HEALTHFAIR PLUS PC OK
Active
Organization
HEALTHFAIR PLUS PC OK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY EKBATANI (CHIEF ADMINISTRATIVE OFFICER)
(407) 672-0919
Entity
Organization
Contact information
Practice address
7633 E 63RD PL, SUITE 300, TULSA, OK 74133-1273
(407) 672-0919
Mailing address
1030 SPRING VILLAS PT STE 3000, WINTER SPRINGS, FL 32708-6621
(407) 672-0919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
06/04/2015
Last updated
01/15/2016
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