Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | BP10027683 | TX |
N | 111NI0900X | Internist | BP10027683 | TX |
Y | 207RI0200X | Infectious Disease | 33682 | OK |
NPI | 1023292976 |
---|---|
Provider Name | Yasir Ahmed |
First Address | Tulsa, OK 74104-5638 |
Second Address | Tulsa, OK 74104-5638 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2007 |
Last Update Date | 11/06/2018 |