Innovative Medical Associates Pllc
NPI #1407066228 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1407066228
- Entity Type
- Organization
- Organization Name
- Innovative Medical Associates Pllc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 23, 2007
- Last Updated
- Jan 7, 2016
Practice Location
- Address
- 4301 NW 63RD ST
- Address 2
- SUITE 205
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73116-1549
- Phone
- (405) 242-6494
Authorized Official
- Name
- VATSALA SHAH, MD
- Title
- MANAGING PARTNER
- Phone
- (405) 553-1540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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