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General NPI Number Information
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NPI Number | 1073859443
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Entity Type | Individual
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Provider Name | BILAL AHMED MD
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Gender | Male
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Dates
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Enumeration Date | 12/12/2012
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 31870 OKLAHOMA 51 KOWETA INDIAN HEALTH CENTER
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City | COWETA
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State | OK
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Zip | 74429
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Country | US
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Telephone | 918-279-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 5835 E 46TH PL
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City | TULSA
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State | OK
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Zip | 74135-6840
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Country | US
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Telephone | 918-978-2242
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29297
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 29297
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License Number State | OK
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