MEDICARE: CAREMAX INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle	347C00000X

General Provider Information

NPI Number	:	1023386380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREMAX INC.

Provider Business Mailing Address
First Line	:	13100 BRIGHT PRAIRIE CIR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73142-6078
Country	:	US
Telephone Number	:	405-474-7364
Fax Number	:	405-470-8367

Provider Business Practice Location Address
First Line	:	13100 BRIGHT PRAIRIE CIR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73142-6078
Country	:	US
Telephone Number	:	405-474-7364
Fax Number	:	405-470-8367

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. KHAWAJA HUSSAIN ALI
Credential	:
Telephone Number	:	405-474-7364

Provider Enumeration Date	:	12/01/2011
Last Update Date	:	12/01/2011

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Directions to “CAREMAX INC. ” Practice Location

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