Gautam Dehadrai, MD | |
901 N Porter Ave, Norman, OK 73071-6404 | |
(405) 307-1600 | |
(405) 307-1604 |
Full Name | Gautam Dehadrai |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 33 Years |
Location | 901 N Porter Ave, Norman, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982653424 | NPI | - | NPPES |
200050770A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2003-0258 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Norman Regional | Norman, OK | Hospital |
Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
Entity Name | Nrhs Radiology Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134316169 PECOS PAC ID: 2668555731 Enrollment ID: O20080213000018 |
Entity Name | Mara Vascular & Interventional Radiology Of Okc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295316107 PECOS PAC ID: 1557761053 Enrollment ID: O20210621000233 |
Entity Name | Oklahoma Prostate Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982488854 PECOS PAC ID: 5193174761 Enrollment ID: O20231207001991 |
Entity Name | Oklahoma Vascular And Embolization Center By Flex Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356124325 PECOS PAC ID: 1254771421 Enrollment ID: O20240506000174 |
Mailing Address | Practice Location Address |
---|---|
Gautam Dehadrai, MD Po Box 1308, Attention: Managed Care, Norman, OK 73070-1308 Ph: (405) 307-1600 | Gautam Dehadrai, MD 901 N Porter Ave, Norman, OK 73071-6404 Ph: (405) 307-1600 |
Lynne Ozinga, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1125 N Porter Ave, Suite 100, Norman, OK 73071 Phone: 405-364-1071 | |
Glenna Young, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1125 N Porter Ave, Suite 100, Norman, OK 73071 Phone: 405-364-1071 | |
Sanjay K Narotam, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 901 N Porter Ave, Norman, OK 73071 Phone: 405-307-1000 | |
Dr. Rose Gideon, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3904 Hidden Hill Rd, Norman, OK 73072 Phone: 405-364-2381 | |
Kathy L Wyant, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 N Porter, Suite 100, Norman, OK 73071 Phone: 405-364-1071 | |
Richard Wedel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 901 N Porter Ave, Norman, OK 73071 Phone: 405-307-1600 Fax: 405-307-1604 | |
Dawn Finlay Noahubi, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 2322 N Interstate Dr, Norman, OK 73072 Phone: 405-296-4500 Fax: 833-226-3213 |