| Optimum Care Partners | |
|
105 S Bryant Ave Ste 108 Edmond OK 73034-6330 | |
| (405) 359-5370 | |
| Not Available |
| Full Name | Optimum Care Partners |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 S Bryant Ave Ste 108, Edmond, Oklahoma |
| Authorized Official Name and Position | Muhammad Sanaullah (CEO) |
| Authorized Official Contact | 4053595370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Care Partners 105 S Bryant Ave Ste 108 Edmond OK 73034-6330 Ph: (405) 359-5370 | Optimum Care Partners 105 S Bryant Ave Ste 108 Edmond OK 73034-6330 Ph: (405) 359-5370 |
| NPI Number | 1760030399 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 07/11/2024 |
| Medicare PECOS PAC ID | 2264853928 |
|---|---|
| Medicare Enrollment ID | O20200604001174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760030399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Secondary |
| Provider Name | Muhammad Sanaullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699079400 PECOS PAC ID: 0345412656 Enrollment ID: I20111011000155 |
| Provider Name | Matthew Kenneth Loeber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295135341 PECOS PAC ID: 6800018730 Enrollment ID: I20141110001602 |
| Provider Name | Ayesha Mughal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811243009 PECOS PAC ID: 2365663325 Enrollment ID: I20170123002465 |
| Provider Name | Ayesha Chaudry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962755744 PECOS PAC ID: 2860794492 Enrollment ID: I20200604001636 |
| Provider Name | Gabrielle Michelle Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477265866 PECOS PAC ID: 6608226501 Enrollment ID: I20231219000100 |
| Provider Name | Venessa Emma Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437781283 PECOS PAC ID: 2961829932 Enrollment ID: I20240430000567 |
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