| Doctor Name: | NAZIR AHMED BALOUCH |
| NPI Number: | 1942454061 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 26219 |
| Business Practice Address: | 901 N. Porter Avenue Norman, OK - 730716404 |
| Business Phone Number: | 4053071000 |
| Business Fax Number: | 4053071304 |
| Mailing Address: | 401 W. Main Street, Suite 400 NORMAN |
| State: | OK |
| Postal Code: | 730691319 |
| Phone Number: | 4053643040 |
| Fax Number: | 4053070883 |
| NPI Enumeration Date: | 11/17/2008 |
| NPI Last Update Date: | 10/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 26219 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |