Kala R Mehta, MD | |
1501 N Florence Ave, Suite 201, Claremore, OK 74017-3179 | |
(918) 343-2728 | |
(918) 343-0783 |
Full Name | Kala R Mehta |
---|---|
Gender | Female |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1501 N Florence Ave, Claremore, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760479802 | NPI | - | NPPES |
100051980A | Medicaid | OK | |
150903001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 18536 (Oklahoma) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | E3856 (Arkansas) | Secondary |
Entity Name | St. Vincent Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578587150 PECOS PAC ID: 6608775135 Enrollment ID: O20040105000372 |
Mailing Address | Practice Location Address |
---|---|
Kala R Mehta, MD Po Box 368, Claremore, OK 74018-0368 Ph: (918) 343-2728 | Kala R Mehta, MD 1501 N Florence Ave, Suite 201, Claremore, OK 74017-3179 Ph: (918) 343-2728 |
Irene Whitney Moy, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1501 N Florence Ave Ste 201, Claremore, OK 74017 Phone: 918-347-4336 | |
Ira Jay Liebman, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 101 S Moore Ave, Claremore, OK 74017 Phone: 918-342-6200 Fax: 918-342-6436 | |
Dr. Stephen Carlos Medina, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1501 N Florence Ave Ste 250, Claremore, OK 74017 Phone: 918-343-8513 Fax: 918-341-7090 | |
Dr. Jose M Gonzalez-malave, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 101 South Moore Ave, Claremore, OK 74017 Phone: 918-342-6200 Fax: 918-342-6436 | |
Dylan Bradley Allen, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1501 N Florence Ave Ste 201, Claremore, OK 74017 Phone: 918-341-1886 Fax: 918-343-1727 | |
Dr. William J Durick, M D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1501 N Florence, Ste 101, Claremore, OK 74017 Phone: 918-342-3633 Fax: 918-342-8959 | |
Randolph Cohen, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 201 W Blue Starr Dr, Claremore, OK 74017 Phone: 918-236-7956 Fax: 918-708-1883 |