Sandra Jean Gilliland, MD | |
500 Sw 44th St, Oklahoma City, OK 73109-3540 | |
(405) 632-6688 | |
(405) 604-0708 |
Full Name | Sandra Jean Gilliland |
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Gender | Female |
Speciality | Pediatrics |
Location | 500 Sw 44th St, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003957846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 23991 (Oklahoma) | Primary |
Entity Name | Variety Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780697813 PECOS PAC ID: 1557260007 Enrollment ID: O20040105000467 |
Mailing Address | Practice Location Address |
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Sandra Jean Gilliland, MD 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 Ph: (405) 632-6688 | Sandra Jean Gilliland, MD 500 Sw 44th St, Oklahoma City, OK 73109-3540 Ph: (405) 632-6688 |
Elizabeth Clare Kutteh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave # 14000, Oklahoma City, OK 73104 Phone: 405-271-4417 | |
Deepthi Gopinathan Nair, MBBS, DNB PEDIATRICS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Oklahoma City, OK 73104 Phone: 425-655-8633 | |
Mary Anne Mccaffree, MS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, 7th Floor North Pavilion, Oklahoma City, OK 73104 Phone: 405-271-5215 Fax: 405-271-1236 | |
John August Ruth Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr Fl 10, Oklahoma City, OK 73104 Phone: 405-271-4417 | |
Samuel Levin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr, Oklahoma City, OK 73104 Phone: 405-271-5215 | |
Julie W Lees, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 N Phillips Ave, Suite 6100, Oklahoma City, OK 73104 Phone: 405-271-6827 Fax: 405-271-4418 |