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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NISHA RAHEEM SIRAJUDDIN
NPI 1609792209
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since June 26, 2026
1111 W 17TH ST, TULSA, OK 74107(918) 582-1972 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nisha Raheem Sirajuddin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NISHA RAHEEM SIRAJUDDIN (NPI 1609792209) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1609792209
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNISHA RAHEEM SIRAJUDDIN
Location Address1111 W 17TH STTulsa, OK 74107-1800
Mailing Address4316 Nw 144th PlOklahoma City, OK 73134-1790 · (405) 464-9585
Phone(918) 582-1972
Sole ProprietorYes
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1609792209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1111 W 17TH ST, Tulsa, OK 74107
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nisha Sirajuddin's NPI number?

The NPI number for Nisha Sirajuddin is 1609792209. It was assigned to this individual provider in the NPPES registry on June 26, 2026.

Where is Nisha Sirajuddin located?

Nisha Sirajuddin practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 582-1972.

What is Nisha Sirajuddin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nisha Sirajuddin was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.