Optimum Pac Pllc

NPI #1568352714 in Edmond, Oklahoma

Provider Information

NPI Number: 1568352714
Entity Type: Organization
Organization Name: Optimum Pac Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Jul 8, 2025
Last Updated: Jul 8, 2025

Practice Location

Address: 1501 E 19TH ST
City: Edmond
State: Oklahoma
ZIP Code: 73013-6618
Phone: (405) 367-6180

Authorized Official

Name: MUHAMMAD SANAULLAH
Title: CEO
Phone: (405) 367-6180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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