Imran Ali
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Tulsa, OK
NPI 1114762242 · NPPES record last updated Jun 29, 2024
Key facts
- NPI
- 1114762242
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1111 W 17TH St
Tulsa, OK 74107-1886 - Phone
- (918) 594-8000
- NPI assigned
- Jun 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1111 W 17TH St
Tulsa, OK 74107-1886
Mailing address
219 N East Ave
Tahlequah, OK 74464-3249
Other providers in Tulsa, OK
- Anthony Alfrey
- Laurie Ann Alfrey
- Kara Alger
- Ali Siddiqui MD PC
- Arwa Ali
- Lamiaa Hassan Ali
- Rabia Ali
- Rachelle Lynn Ali
- Lourdes Sofia Aliaga
- Qaidar Alizai
All providers in Tulsa, OK · Student in an Organized Health Care Education/Training Program in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.