Liladhar Kashyap, MD | |
101 S Park Ln Ste 100, Altus, OK 73521-5731 | |
(580) 379-6100 | |
(580) 379-6109 |
Full Name | Liladhar Kashyap |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 101 S Park Ln Ste 100, Altus, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518227305 | NPI | - | NPPES |
200618390A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 31320 (Oklahoma) | Primary |
Entity Name | Jackson County Memorial Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093763781 PECOS PAC ID: 1759293178 Enrollment ID: O20031104000406 |
Mailing Address | Practice Location Address |
---|---|
Liladhar Kashyap, MD 1200 E Pecan St, Altus, OK 73521-6141 Ph: (580) 379-5000 | Liladhar Kashyap, MD 101 S Park Ln Ste 100, Altus, OK 73521-5731 Ph: (580) 379-6100 |
Mary Marks Nelson, Pediatrics Medicare: Medicare Enrolled Practice Location: 301 N 1st St # 46, Altus, OK 73523 Phone: 580-481-7518 | |
Dr. Neil B Vitale, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 E Pecan St, Altus, OK 73521 Phone: 580-379-5547 | |
Lindsey Nicole King, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6100 Fax: 580-379-6109 | |
Dr. Kristen Marie Savath, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 S Park Ln, Altus, OK 73521 Phone: 580-379-6100 Fax: 580-379-6109 |