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NPI Code Detail

MEDICARE: DR. ASHLEY LOTFABADI DO

MEDICARE: DR. ASHLEY LOTFABADI DO
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
1207Q00000XFamily Medicine Physician7005OK
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1326509712
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHLEY LOTFABADI DO
Provider Business Mailing Address
First Line : 1011 HONOR HEIGHTS DR
Second Line :
City : MUSKOGEE
State : OK
Zip : 74401-1318
Country : US
Telephone Number : 888-397-8387
Fax Number :
Provider Business Practice Location Address
First Line : 14002 E 21ST ST STE 1130
Second Line :
City : TULSA
State : OK
Zip : 74134-1408
Country : US
Telephone Number : 918-439-1500
Fax Number : 918-439-1199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2019
Last Update Date : 11/15/2025

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Directions to “ DR. ASHLEY LOTFABADI DO” Practice Location

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