Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 38201 | OK |
Y | 111NI0900X | Internist | 38201 | OK |
N | 207R00000X | Internist | Q4013 | TX |
N | 111NI0900X | Internist | Q4013 | TX |
NPI | 1003205683 |
---|---|
Provider Name | Saif K Altaie |
First Address | Oklahoma City, OK 73104-5018 |
Second Address | Oklahoma City, OK 73104-5404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2015 |
Last Update Date | 27/01/2022 |