Healthcare Provider Details

I. General information

NPI: 1801590328
Provider Name (Legal Business Name): RABIA ALI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6465 S YALE AVE STE 704
TULSA OK
74136-7822
US

IV. Provider business mailing address

6600 S YALE AVE STE 1200
TULSA OK
74136-3333
US

V. Phone/Fax

Practice location:
  • Phone: 918-502-4250
  • Fax: 918-502-4255
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number45315
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: