Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charlsie Record

Individual provider Internal Medicine Physician · NPI 1972028249

Charlsie Record is a Nurse Practitioner in Oklahoma City, Oklahoma. Qualified in 2018, 8 years ago. Practices with Riaz A. Sirajuddin MD PC, a 3-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

10413 Greenbriar Pkwy
Oklahoma City, OK 73159-7656
Phone: (405) 691-4665
Fax: (405) 378-7628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R0104700 (OK)
Internal Medicine Physician Taxonomy 207R00000X · Licence 104700 (OK)

Record details

NPI number1972028249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2017
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Riaz A. Sirajuddin Md Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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