Healthcare Provider Details

I. General information

NPI: 1225774227
Provider Name (Legal Business Name): OPTIMUM POST ACUTE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2022
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 E 19TH ST
EDMOND OK
73013-6618
US

IV. Provider business mailing address

PO BOX 737179
DALLAS TX
75373-7179
US

V. Phone/Fax

Practice location:
  • Phone: 405-789-6359
  • Fax: 405-359-5481
Mailing address:
  • Phone: 405-359-5370
  • Fax: 405-359-5481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD SANAULLAH
Title or Position: OWNER
Credential: MD
Phone: 405-789-6359