Organization
OKWAPEDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAZIR S AHMAD M.D. (OWNER)
(405) 235-9955
Entity
Organization
Contact information
Practice address
1211 N SHARTEL AVE STE 606, OKLAHOMA CITY, OK 73103-2425
(405) 235-9955
(405) 601-4044
Mailing address
1211 N SHARTEL AVE STE 606, OKLAHOMA CITY, OK 73103-2425
(405) 235-9955
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
12416
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100118340B
—
OK
Enumeration date
01/12/2010
Last updated
01/12/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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