Healthcare Provider Details

I. General information

NPI: 1033895933
Provider Name (Legal Business Name): NALIN U.G., DO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 08/26/2023
Certification Date: 08/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 E MEMORIAL RD STE B
EDMOND OK
73013-7093
US

IV. Provider business mailing address

2734 WINSTON ROAD
OKLAHOMA CITY OK
73120
US

V. Phone/Fax

Practice location:
  • Phone: 405-593-8890
  • Fax:
Mailing address:
  • Phone: 405-600-8745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: NALIN U.G.
Title or Position: DO
Credential:
Phone: 405-600-8745