MEDICARE: ALPANA JAVA PASRICHA M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	23367	OK

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00177338	OTHER		RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	182646	OTHER	MO	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0000104083	OTHER	KS	BLUE CROSS BLUE SHIELD

NPI Number	:	1801800222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALPANA JAVA PASRICHA M.D.

Provider Business Mailing Address
First Line	:	6465 S YALE AVE STE 401
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-7806
Country	:	US
Telephone Number	:	918-582-3154
Fax Number	:

Provider Business Practice Location Address
First Line	:	6465 S YALE AVE STE 401
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-7806
Country	:	US
Telephone Number	:	918-582-3154
Fax Number	:	918-582-3593

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	02/13/2025

6465 S YALE AVE STE 408
TULSA, OK
74136-7806

Practice Phone: 918-481-4880
Practice Fax: 918-481-4899