Advanced Surgical Associates, PC
in Oklahoma City, OK. Organization (NPI-2).
NPI number1386753200
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1386753200
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Surgical Associates, PC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | – | – | Yes |
Practice location
3330 Nw 56th St.Ste 208
Oklahoma City, OK 73112
Phone 405-604-0690 · Fax 405-604-0689
Mailing address
3330 Nw 56th StSte 208
Oklahoma City, OK 73112
Phone 405-604-0690 · Fax 405-604-0689
Authorized official
Mohammad Jamshidi-Nezhad
President
4056040690
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