MEDICARE: PAVEL RIHA MD, PHD

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
1	174400000X	Specialist	19336	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639172117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAVEL RIHA MD, PHD

Provider Business Mailing Address
First Line	:	6500 BROADWAY EXT STE 100
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-8203
Country	:	US
Telephone Number	:	405-231-8882
Fax Number	:	405-231-8884

Provider Business Practice Location Address
First Line	:	6500 BROADWAY EXT STE 100
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-8203
Country	:	US
Telephone Number	:	405-231-8882
Fax Number	:	405-231-8884

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/31/2025

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