Archana Sanku Rao, MD | |
330 S 5th St Ste 203, Enid, OK 73701-5861 | |
(405) 413-8148 | |
Not Available |
Full Name | Archana Sanku Rao |
---|---|
Gender | Female |
Speciality | Internal Medicine - Gastroenterology |
Location | 330 S 5th St Ste 203, Enid, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386740405 | NPI | - | NPPES |
P00824314 | Other | MN | RAILROAD MEDICARE |
ENROLLED | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 25965 (Oklahoma) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | C129986 (California) | Primary |
Entity Name | Saints Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
Entity Name | Enid Gastroenterology, Inc., P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922019793 PECOS PAC ID: 4981861986 Enrollment ID: O20120202000503 |
Mailing Address | Practice Location Address |
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Archana Sanku Rao, MD 400 Newport Center Dr Ste 608, Newport Beach, CA 92660-7624 Ph: () - | Archana Sanku Rao, MD 330 S 5th St Ste 203, Enid, OK 73701-5861 Ph: (405) 413-8148 |
Daniel Dean Washburn, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 615 E Oklahoma Ave Ste 208, Enid, OK 73701 Phone: 580-242-3090 Fax: 580-234-2090 | |
Dr. Brian D. Whitson, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 620 S Madison St, Suite 209, Enid, OK 73701 Phone: 580-213-9741 Fax: 580-213-9740 | |
Dr. Charles Lawrence Cannon, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1218 W Willow, Ste A, Enid, OK 73703 Phone: 580-233-2176 Fax: 580-233-2179 | |
Sarah Beth Matousek-fraser, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 620 S Madison St Ste 209, Enid, OK 73701 Phone: 580-977-1864 Fax: 580-977-1865 | |
Christopher A Shearer, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 915 E Garriott Rd, Suite C, Enid, OK 73701 Phone: 580-234-6425 Fax: 580-234-5176 | |
David James Shepherd Jr., MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 721 W Broadway Ave Ste D, Enid, OK 73701 Phone: 580-237-0322 Fax: 580-233-0402 | |
Sumbal Nabi, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 600 S Monroe St, Enid, OK 73701 Phone: 580-977-1950 Fax: 580-977-1949 |