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NPI Code Detail

MEDICARE: DR. RIAZ AHMED SIRAJUDDIN M.D.

MEDICARE: DR. RIAZ AHMED SIRAJUDDIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician35.071247OH
2207RC0000XCardiovascular Disease Physician22726OK
3174400000XSpecialist22726OK

General Provider Information

NPI Number : 1235186099
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RIAZ AHMED SIRAJUDDIN M.D.
Provider Business Mailing Address
First Line : 10413 GREENBRIAR PARKWAY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-6923
Country : US
Telephone Number : 405-691-4665
Fax Number : 405-378-7628
Provider Business Practice Location Address
First Line : 10413 GREENBRIAR PKWY
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-7656
Country : US
Telephone Number : 405-691-4665
Fax Number : 405-378-7628
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 02/24/2026

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