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 |
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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 | 4057968367 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crescent Infusion Health Clinic Pllc 601 Nw 160th St Edmond OK 73013-1025 Ph: (405) 796-8367 | Crescent Infusion Health Clinic Pllc 1111 N Lee Ave Ste 249 Oklahoma City OK 73103-2600 Ph: (855) 541-2862 |
NPI Number | 1093563546 |
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Provider Enumeration Date | 05/09/2024 |
Last Update Date | 05/09/2024 |
Medicare PECOS PAC ID | 5395187702 |
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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 |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1558507962 PECOS PAC ID: 5991851131 Enrollment ID: I20131120000644 |
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