Healthcare Provider Details

I. General information

NPI: 1235336280
Provider Name (Legal Business Name): NORMAN CARDIOVASCULAR ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 08/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N PORTER AVE STE 100B
NORMAN OK
73071-6426
US

IV. Provider business mailing address

900 N PORTER AVE STE 100B
NORMAN OK
73071-6426
US

V. Phone/Fax

Practice location:
  • Phone: 405-360-3089
  • Fax: 405-360-6765
Mailing address:
  • Phone: 405-360-3089
  • Fax: 405-360-6765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number18816
License Number StateOK

VIII. Authorized Official

Name: DR. MUHAMMAD SALIM
Title or Position: OWNER-PRESIDENT
Credential: M.D.
Phone: 405-360-3089