Healthcare Provider Details

I. General information

NPI: 1548721269
Provider Name (Legal Business Name): AARON R ALVARADO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 S WHEELING AVE STE 606
TULSA OK
74104-5635
US

IV. Provider business mailing address

1923 S UTICA AVE
TULSA OK
74104-6520
US

V. Phone/Fax

Practice location:
  • Phone: 918-748-7676
  • Fax: 918-403-6340
Mailing address:
  • Phone: 918-403-7065
  • Fax: 918-744-2946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number34793
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number34793
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: