Healthcare Provider Details

I. General information

NPI: 1205371234
Provider Name (Legal Business Name): HEALTHY HEARTBEAT, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2016
Last Update Date: 12/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1226 N SHARTEL AVE SUITE 300
OKLAHOMA CITY OK
73103-2421
US

IV. Provider business mailing address

1226 N SHARTEL AVE SUITE 300
OKLAHOMA CITY OK
73103-2421
US

V. Phone/Fax

Practice location:
  • Phone: 405-231-8882
  • Fax: 405-231-8884
Mailing address:
  • Phone: 405-231-8882
  • Fax: 405-231-8884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471N0900X
TaxonomyNuclear Medicine Technology Radiologic Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246X00000X
TaxonomyCardiovascular Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: DR. PAVEL RIHA
Title or Position: OWNER
Credential: MD, PHD, FACC
Phone: 405-231-8882