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

Individual provider Acute Care Nurse Practitioner · NPI 1790318426

Pavel Greg Buzadzhi is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2019, 7 years ago. Practices with Ahs Oklahoma Heart LLC, a 132-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
7
Licensed in
OK
In the registry since
2020
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Practice location Address checks out

1265 S Utica Ave
Tulsa, OK 74104-4243
Phone: (918) 592-0999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 106598 (OK)

Record details

NPI number1790318426
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 21, 2020
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ahs Oklahoma Heart Llc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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