Bitanor | |
204 Riverside Dr Moore OK 73160-1237 | |
(405) 799-6900 | |
(405) 799-6906 |
Full Name | Bitanor |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 204 Riverside Dr, Moore, Oklahoma |
Authorized Official Name and Position | Darius Noori (OWNER) |
Authorized Official Contact | 4057592138 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bitanor 204 S. Riverside Drive Moore OK 73160 Ph: (405) 759-2138 | Bitanor 204 Riverside Dr Moore OK 73160-1237 Ph: (405) 799-6900 |
NPI Number | 1881882538 |
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Provider Enumeration Date | 10/09/2007 |
Last Update Date | 05/31/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881882538 | NPI | - | NPPES |
200035170A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 21921 (Oklahoma) | Primary |
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