Provider Demographics
NPI:1992940787
Name:HARVEY A DRAPKIN DO PLLC
Entity type:Organization
Organization Name:HARVEY A DRAPKIN DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:DRAPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-644-5160
Mailing Address - Street 1:4221 S WESTERN AVE STE 5000
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109-3441
Mailing Address - Country:US
Mailing Address - Phone:405-644-5160
Mailing Address - Fax:405-644-5162
Practice Address - Street 1:4221 S WESTERN AVE, STE 5000
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109
Practice Address - Country:US
Practice Address - Phone:405-644-5160
Practice Address - Fax:405-644-5162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3139174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100061210AMedicaid
OK245711505Medicare PIN