Unknown Individual – Internal Medicine Physician, NPI 1790737427
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
East 31st Court, Eagle Ridge, Tulsa, Tulsa County, Oklahoma, 74134, United States
STE 210
TULSA, OK 741451315
Phone: (918) 392-4456
Fax: (918) 392-4465
Type: Mailing
1501, North Florence Avenue, Claremore, Rogers County, Oklahoma, 74017, United States
SUITE 201
CLAREMORE, OK 740173189
Phone: (918) 341-1886
Fax: (918) 343-1727
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74145)
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