Healthcare Provider Details

I. General information

NPI: 1891773727
Provider Name (Legal Business Name): HEART AND MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 W. UNIVERSITY BLVD.
DURANT OK
74701-2997
US

IV. Provider business mailing address

2701 W UNIVERSITY BLVD
DURANT OK
74701-2997
US

V. Phone/Fax

Practice location:
  • Phone: 580-931-0500
  • Fax: 580-920-8027
Mailing address:
  • Phone: 580-931-0500
  • Fax: 580-920-8027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: VIVEK KHETPAL
Title or Position: PRESIDENT
Credential:
Phone: 580-931-0500