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NPI Code Detail

MEDICARE: TERRANCE KHASTGIR MD

MEDICARE: TERRANCE KHASTGIR MD
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
1207RC0000XCardiovascular Disease Physician18133OK
2207RC0001XClinical Cardiac Electrophysiology Physician18133OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033176524
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRANCE KHASTGIR MD
Provider Business Mailing Address
First Line : 3433 NW 56TH ST
Second Line : STE 660
City : OKLAHOMA CITY
State : OK
Zip : 73112-4462
Country : US
Telephone Number : 405-948-7571
Fax Number : 405-948-0537
Provider Business Practice Location Address
First Line : 3433 NW 56TH ST STE 660
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4449
Country : US
Telephone Number : 405-947-3341
Fax Number : 405-951-4342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 06/04/2020

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