Haresh Kantilal Ajmera, MD
Individual provider Active NPI Gastroenterology Physician · Tulsa, OK
NPI 1780747261 · NPPES record last updated Jan 11, 2017
Key facts
- NPI
- 1780747261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 10644 (OK)
- Practice address
- 1145 S Utica Ave
Suite 500
Tulsa, OK 74104-4014 - Phone
- (918) 744-8115
- Fax
- (918) 744-8117
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070220000487 | OK | Practitioner - Gastroenterology |
8921100025 | Practice locations: Tulsa, OK |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haresh K Ajmera MD Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 10644 | OK | Yes |
Addresses
Primary practice location
1145 S Utica Ave
Suite 500
Tulsa, OK 74104-4014
Mailing address
1145 S Utica Ave
Suite 500
Tulsa, OK 74104-4014
Phone (918) 744-8115
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- Olakunle Ajanaku
- Olakunle D. Ajanaku
- Taiwo Ajumobi
- Christina Catherine Akbari
- Aliakber F. Akberali
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All providers in Tulsa, OK · Gastroenterology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.