State Of Oklahoma

LBN: State Of Oklahoma
State Of Oklahoma is an health care organization with primary practice located at 123 Robert S Kerr Ave Ste 1702 , Oklahoma City OK 73102-6406. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, Federal, which is considered as the primary health care specialty. State Of Oklahoma can be contacted via phone (405) 426-8650, or through Pai, Gitanjali G via phone (405) 426-8300.

Contact Information

Primary practice address
123 Robert S Kerr Ave Ste 1702 Oklahoma City OK 73102-6406
Phone: (405) 426-8650
Fax: (405) 900-7498
Website:
Map and Directions
Authorized official contact:
Name: Pai, Gitanjali G Doctor of Medicine (MD)
Phone: (405) 426-8300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, Federal 261QP0904X

Profile Details

NPI number 1114044369
LBN Legal business name State Of Oklahoma
DBA Doing business as
Authorized official Pai, Gitanjali G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 7th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114044369 NPPES
Oklahoma MEDICAID 100707220A

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