Alwan, Imad

Alwan, Imad is an sole proprietor health care provider with primary practice located at One Choctaw Way , Talihina OK 74571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Alwan, Imad can be contacted via phone (918) 567-7000.

Contact Information

Primary practice address
One Choctaw Way Talihina OK 74571
Phone: (918) 567-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101259539 Virginia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X L9068 Texas

Profile Details

NPI number 1811931512
LBN Legal business name Alwan, Imad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated May 10th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811931512 NPPES
Texas Other 752616977073 TRICARE
Texas Other 8V5490 TRICARE
Texas Other 752616977029 TRICARE
Texas MEDICAID 168137102 TRICARE

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