Wellformed AI

NPI 1184043556 · live from the CMS NPI Registry

Heart & Vascular Specialist Of Oklahoma PLLC

Internal Medicine, Cardiovascular Disease in Edmond, OK. National Provider Identifier 1184043556, active.

NPI record

NPI1184043556 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine, Cardiovascular Disease 207RC0000X
Practice location105 S Bryant Ave Ste 101, Edmond, OK 73034
Practice phone405-861-0004
Mailing addressPo Box 8043, Edmond, OK 73083
EnumeratedApril 14, 2014
Last updatedApril 29, 2026
Authorized officialVenkatram Rajaram, Physician

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Cardiovascular Disease primary207RC0000X27981 (OK)

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