Healthcare Provider Details

I. General information

NPI: 1770246043
Provider Name (Legal Business Name): AMAN KAUR PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2021
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date: 05/29/2026
Reactivation Date: 07/14/2026

III. Provider practice location address

3300 NW EXPRESSWAY
OKLAHOMA CITY OK
73112-4418
US

IV. Provider business mailing address

3300 NW EXPRESSWAY
OKLAHOMA CITY OK
73112-4418
US

V. Phone/Fax

Practice location:
  • Phone: 405-949-3011
  • Fax:
Mailing address:
  • Phone: 405-949-3011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5889
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: