Tranquil Psychiatry Clinic,LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

31992 Issued in OK

Legal business name

TRANQUIL PSYCHIATRY CLINIC,LLC

Practice address

333 NW 5TH St
Apt. No. 1010
Oklahoma City, OK 73102-3080

Phone

(210) 430-9196

Fax

(888) 745-3175

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

Azhar Ali Abdullah, M.D.

Title

Psychiatrist

Phone

(210) 430-9196

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1992259501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NW 5TH ST",
            "address_2": "APT. NO. 1010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731023080",
            "telephone_number": "210-430-9196",
            "fax_number": "888-745-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NW 5TH ST",
            "address_2": "APT. NO. 1010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731023080",
            "telephone_number": "210-430-9196",
            "fax_number": "888-745-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANQUIL PSYCHIATRY CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "ABDULLAH",
        "authorized_official_first_name": "AZHAR",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "210-430-9196",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "31992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.