Provider Demographics
NPI:1053359661
Name:PASRICHA, ALOK PRATAP (MD)
Entity type:Individual
Prefix:DR
First Name:ALOK
Middle Name:PRATAP
Last Name:PASRICHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8803 S 101ST EAST AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5783
Mailing Address - Country:US
Mailing Address - Phone:918-560-3823
Mailing Address - Fax:918-382-2535
Practice Address - Street 1:8803 S 101ST EAST AVE STE 280
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5783
Practice Address - Country:US
Practice Address - Phone:918-560-3823
Practice Address - Fax:918-382-2535
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20010160172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200027070AMedicaid
OK200027070AMedicaid
OK243631901Medicare PIN