MEDICARE: OKLAHOMA MEDICAL SPECIALISTS, LLC

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	2471M1202X	Magnetic Resonance Imaging Radiologic Technologist

General Provider Information

NPI Number	:	1124086806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OKLAHOMA MEDICAL SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	8121 NATIONAL AVE
Second Line	:	SUITE 300
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-7530
Country	:	US
Telephone Number	:	405-737-9823
Fax Number	:	405-733-0779

Provider Business Practice Location Address
First Line	:	8121 NATIONAL AVE
Second Line	:	SUITE 150
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-7530
Country	:	US
Telephone Number	:	405-732-7820
Fax Number	:	405-732-7821

Authorized Official
Title or Position	:	MEMBER
Name	:	ZAHEER UD-DIN BABER
Credential	:	M.D.
Telephone Number	:	405-737-9823

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	08/22/2020

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