Provider Demographics
NPI:1538271069
Name:AZIZ, NAILA (MD)
Entity type:Individual
Prefix:
First Name:NAILA
Middle Name:
Last Name:AZIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CHILDRENS AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-4637
Mailing Address - Country:US
Mailing Address - Phone:405-271-4407
Mailing Address - Fax:405-271-4242
Practice Address - Street 1:6001 NW 139TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-1919
Practice Address - Country:US
Practice Address - Phone:405-271-4646
Practice Address - Fax:405-271-4242
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS27367208000000X
OK29057208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS16962OtherCOVENTRY
KS100189OtherHPK
KS12149424OtherMULTIPLAN
KS11058OtherPHS
KS052856OtherBCBS
KS12149424OtherMULTIPLAN
F63598Medicare UPIN