Provider Demographics
NPI:1528168721
Name:PUJARI, GITA - II (MD)
Entity type:Individual
Prefix:DR
First Name:GITA
Middle Name:-
Last Name:PUJARI
Suffix:II
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GITA
Other - Middle Name:
Other - Last Name:PUJARI
Other - Suffix:II
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:921 NE 13TH ST
Mailing Address - Street 2:116C
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5007
Mailing Address - Country:US
Mailing Address - Phone:405-270-0501
Mailing Address - Fax:405-270-6656
Practice Address - Street 1:921 NE 13TH ST
Practice Address - Street 2:116C
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5007
Practice Address - Country:US
Practice Address - Phone:405-270-0501
Practice Address - Fax:405-270-6656
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK188232084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine