| 'able Recovery 1, Llc | |
|
4901 S Pennsylvania Ave Oklahoma City OK 73119-4945 | |
| (405) 605-4005 | |
| (405) 601-2023 |
| Full Name | 'able Recovery 1, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4901 S Pennsylvania Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Salman Alam (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5803400525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 'able Recovery 1, Llc 4901 S Pennsylvania Ave Oklahoma City OK 73119-4930 Ph: (405) 989-5216 | 'able Recovery 1, Llc 4901 S Pennsylvania Ave Oklahoma City OK 73119-4945 Ph: (405) 605-4005 |
| NPI Number | 1770944852 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 3870915028 |
|---|---|
| Medicare Enrollment ID | O20200828000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770944852 | NPI | - | NPPES |
| 200708750A | Medicaid | OK |
| Provider Name | Hamid Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104914985 PECOS PAC ID: 4385608769 Enrollment ID: I20041116000229 |
| Provider Name | Branden Carr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316409733 PECOS PAC ID: 9436569233 Enrollment ID: I20201106000353 |
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