Dr Naveed Siddique, MD | |
1310 E Boone St, Tahlequah, OK 74464-3338 | |
(918) 456-7700 | |
(918) 458-9314 |
Full Name | Dr Naveed Siddique |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1310 E Boone St, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720122914 | NPI | - | NPPES |
1376513002 | Other | OK | NPI FOR CORPORATION |
100822410D | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 18013 (Oklahoma) | Primary |
Entity Name | Northeastern Oklahoma Community Health Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518070481 PECOS PAC ID: 3678482635 Enrollment ID: O20031104000417 |
Mailing Address | Practice Location Address |
---|---|
Dr Naveed Siddique, MD Po Box 751, Hulbert, OK 74441-0751 Ph: (918) 772-3390 | Dr Naveed Siddique, MD 1310 E Boone St, Tahlequah, OK 74464-3338 Ph: (918) 456-7700 |
Dr. Elaine Kennedy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Pediatrics Clinic, Tahlequah, OK 74464 Phone: 918-458-3120 | |
Dr. Gary Lynn Gaston, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1310 E Boone St, Tahlequah, OK 74464 Phone: 918-456-7700 | |
Megan Melott Moss, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1310 E Boone St, Tahlequah, OK 74464 Phone: 918-456-7700 Fax: 918-458-9314 | |
Dr. Kimberly Ann Milford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Downing St Ste 102, Tahlequah, OK 74464 Phone: 918-207-0773 Fax: 918-207-0774 | |
Angel Javier Morales, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3279 | |
Edward Ernest Gustavson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1310 E Boone St, Tahlequah, OK 74464 Phone: 918-456-7700 Fax: 918-458-9314 | |
Mrs. Kailey Madison Haley, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000 |