| Elite Medical Care Pllc | |
|
3336 E. 32nd Street Suite 200 Tulsa OK 74135-4442 | |
| (918) 742-4900 | |
| (918) 742-4901 |
| Full Name | Elite Medical Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3336 E. 32nd Street, Tulsa, Oklahoma |
| Authorized Official Name and Position | Vishal Aggarwal (MEMBER) |
| Authorized Official Contact | 9187424900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Care Pllc 3336 E. 32nd Street Suite 200 Tulsa OK 74135-4442 Ph: (918) 742-4900 | Elite Medical Care Pllc 3336 E. 32nd Street Suite 200 Tulsa OK 74135-4442 Ph: (918) 742-4900 |
| NPI Number | 1396937082 |
|---|---|
| Provider Enumeration Date | 08/16/2007 |
| Last Update Date | 09/22/2017 |
| Medicare PECOS PAC ID | 9537255252 |
|---|---|
| Medicare Enrollment ID | O20071011000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396937082 | NPI | - | NPPES |
| 20026000C | Medicaid | OK | |
| 2001129820A | Medicaid | OK |
| Provider Name | Vishal Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295705663 PECOS PAC ID: 1254224785 Enrollment ID: I20040603001078 |
| Provider Name | Pallavi Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831249812 PECOS PAC ID: 1850487570 Enrollment ID: I20071011000101 |
| Provider Name | Ashton Danielle Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992263453 PECOS PAC ID: 1355683798 Enrollment ID: I20190503001429 |
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