| Early Script, Llc | |
|
1815 E 15th St Tulsa OK 74104-4610 | |
| (918) 809-6205 | |
| Not Available |
| Full Name | Early Script, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1815 E 15th St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Farshid Zandi (CEO/MEDICAL DIRECTOR) |
| Authorized Official Contact | 9188096205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Early Script, Llc Po Box 4769 Tulsa OK 74159-0769 Ph: () - | Early Script, Llc 1815 E 15th St Tulsa OK 74104-4610 Ph: (918) 809-6205 |
| NPI Number | 1730899626 |
|---|---|
| Provider Enumeration Date | 12/01/2022 |
| Last Update Date | 12/01/2022 |
| Medicare PECOS PAC ID | 4880065101 |
|---|---|
| Medicare Enrollment ID | O20230125000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730899626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Farshid Adam Amir Zandi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578510657 PECOS PAC ID: 6709858418 Enrollment ID: I20040811001241 |
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