Al Imran

NPI 1699140251 · on the registry since 2015 · sole proprietor

Practice

Address: 100 South Bliss Avenue
Tahlequah, OK 74464
Phone: (918) 458-3105
Organisation at this address: Cherokee Nation
W W Hastings Indian Hospital
Hastings Indian Medical Center
Northeastern State University College Of Optometry
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 186

Registry record

Primary taxonomy: 1835P0018X
1835P0018X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-12-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma