1942242623 NPI number — ZUHDI TRANSPLANT PHYSICIANS

Table of content: (NPI 1942242623)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942242623 NPI number — ZUHDI TRANSPLANT PHYSICIANS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ZUHDI TRANSPLANT PHYSICIANS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
INTEGRIS BAPTIST MEDICAL CENTER
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942242623
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/19/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3001 QUAIL SPRINGS PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73134-2640
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-252-8400
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3300 NW EXPRESSWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73112-4481
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-949-3349
Provider Business Practice Location Address Fax Number:
405-948-6507
Provider Enumeration Date:
06/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WEED
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
405-731-1467

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200072980A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".




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