| Crescent Infusion Health Clinic Pllc | |
|
1111 N Lee Ave Ste 249 Oklahoma City OK 73103-2600 | |
| (855) 541-2862 | |
| (405) 716-4808 |
| Full Name | Crescent Infusion Health Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 N Lee Ave Ste 249, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Saud Iqbal Ahmed (CEO) |
| Authorized Official Contact | 4052487407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Infusion Health Clinic Pllc 1111 N Lee Ave # 249 Oklahoma City OK 73103-2600 Ph: (405) 594-5848 | Crescent Infusion Health Clinic Pllc 1111 N Lee Ave Ste 249 Oklahoma City OK 73103-2600 Ph: (855) 541-2862 |
| NPI Number | 1093563546 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 01/16/2025 |
| Medicare PECOS PAC ID | 5395187702 |
|---|---|
| Medicare Enrollment ID | O20240530000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093563546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Saud Iqbal Ahmed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558507962 PECOS PAC ID: 5991851131 Enrollment ID: I20131120000644 |
| Provider Name | Lauren D'ann Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821627167 PECOS PAC ID: 2668895178 Enrollment ID: I20200630003044 |
| Provider Name | Sowminya Arikapudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629424874 PECOS PAC ID: 0446659619 Enrollment ID: I20210521000012 |
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