=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316176928
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADVANCED PULMONARY AND CRITICAL CARE PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2009
-----------------------------------------------------
Last Update Date | 07/06/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4205 MCAULEY BLVD SUITE 470
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73120-9391
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-397-9008
-----------------------------------------------------
Fax | 405-348-2515
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4205 MCAULEY BLVD SUITE 470
-----------------------------------------------------
City | OKLAHOMA CITY
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73120-9391
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 405-397-9008
-----------------------------------------------------
Fax | 405-348-2515
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SOLE OWNER
-----------------------------------------------------
Name | DR. SEYED MOHAMMAD ALAMIAN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 405-397-9008
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number | 22230
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------