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NPI 1134488281 · live from the CMS NPI Registry

Adam Glen Burroughs, M.D.

Internal Medicine, Interventional Cardiology in Oklahoma City, OK. National Provider Identifier 1134488281, active.

NPI record

NPI1134488281 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine, Interventional Cardiology 207RI0011X
Practice location4221 S Western Ave Ste 2010, Oklahoma City, OK 73109
Practice phone405-644-5120
Mailing address920 Stanton L Young Blvd # Wp3010, Oklahoma City, OK 73104
EnumeratedMay 10, 2012
Last updatedAugust 27, 2020
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine207R00000XBP10044544 (TX)
Internal Medicine207R00000XQ5769 (TX)
Internal Medicine, Cardiovascular Disease207RC0000X31974 (OK)
Internal Medicine, Interventional Cardiology primary207RI0011X31974 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.