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NPI Code Detail

MEDICARE: RIAZ A. SIRAJUDDIN MD PC

MEDICARE: RIAZ A. SIRAJUDDIN MD PC
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
1174400000XSpecialist22726OK

General Provider Information

NPI Number : 1508976648
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIAZ A. SIRAJUDDIN MD PC
Provider Business Mailing 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
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 : OWNER
Name : DR. RIAZ A SIRAJUDDIN
Credential : MD
Telephone Number : 405-691-4665
Provider Enumeration Date : 08/30/2006
Last Update Date : 03/23/2026

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Directions to “RIAZ A. SIRAJUDDIN MD PC ” Practice Location

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