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Contact Information

OPTIMUM PRIMARY CARE PLLC
1501 E 19TH ST
EDMOND, OK73013-6618
 Phone: 405-471-6511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for OPTIMUM PRIMARY CARE PLLC

NPI # 1760030399
LBN Legal business name OPTIMUM PRIMARY CARE PLLC
Authorized official MUHAMMAD SANAULLAH - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2019
Last updated 07/07/2025 - About 11 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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