Dr Olive Sein Konana, MD | |
4401 Harrison Blvd, Ogden, UT 84403 | |
(801) 387-4300 | |
Not Available |
Full Name | Dr Olive Sein Konana |
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Gender | Female |
Speciality | Pediatrics |
Location | 4401 Harrison Blvd, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811179088 | NPI | - | NPPES |
200946860 | Medicaid | IN | |
3073150 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01066198 (Indiana) | Secondary |
208000000X | Pediatrics | 10219168-1205 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Dr Olive Sein Konana, MD Po Box 27128, Slc, UT 84127-0128 Ph: (801) 387-4300 | Dr Olive Sein Konana, MD 4401 Harrison Blvd, Ogden, UT 84403 Ph: (801) 387-4300 |
Dr. Isabel Cristina Lau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5405 S 500 E Ste 205, Ogden, UT 84405 Phone: 801-479-0174 Fax: 801-479-8888 | |
Dr. William Richard Weeks, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4011 Beus Dr, Ogden, UT 84403 Phone: 801-393-9654 | |
Dr. Christine Ann Nefcy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, 4875, Ogden, UT 84403 Phone: 801-387-4500 Fax: 801-387-4712 | |
Mark J Sheffield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-4300 | |
Dr. King Hom, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ste 4875, Ogden, UT 84403 Phone: 801-387-4500 | |
Donald F Watts, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3955 Harrison Blvd, L-1, Ogden, UT 84403 Phone: 801-621-1701 Fax: 801-393-9411 | |
Julie Lin Berry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3955 Harrison Blvd, L-1, Ogden, UT 84403 Phone: 801-621-1701 Fax: 801-393-9411 |