Elite Medical Clinic PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

23998 Issued in OK

Legal business name

ELITE MEDICAL CLINIC PLLC

Practice address

1725 E 19TH St Ste 202
Tulsa, OK 74104-5419

Phone

(888) 599-3330

NPI assigned

Mar 17, 2008

Last updated

Mar 17, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pallavi Agarwal, MD

Title

Member

Phone

(888) 599-3330

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1184895252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 S YALE AVE # 341",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366308",
            "telephone_number": "888-599-3330",
            "fax_number": "888-599-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 19TH ST STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045419",
            "telephone_number": "888-599-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "PALLAVI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "888-599-3330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "23998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Chiropractic PC (Elite Chiropractic)
• Elite Family Medicine LLC
• Elite Footcare Center PC
• Elite Medical Care
• Elite Medical Care PLLC
• Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC
• Elite Surgical Assisting, LLC
• Elite Wound Care, LLC
• Elizabeth a Greenwood, P.C. (Elizabeth A Greenwood, PH.D.)
• Elizabeth L Frost, PLLC

• Primary Care Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.