Kash K. Biddle, Do, Pllc | |
3300 S Aspen Ave Suite C Broken Arrow OK 74012-7501 | |
(918) 455-2416 | |
(918) 455-7546 |
Full Name | Kash K. Biddle, Do, Pllc |
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Speciality | Family Medicine |
Location | 3300 S Aspen Ave, Broken Arrow, Oklahoma |
Authorized Official Name and Position | Kash K. Biddle (OWNER/PHYSICIAN) |
Authorized Official Contact | 9184552416 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kash K. Biddle, Do, Pllc 3300 S Aspen Ave Suite C Broken Arrow OK 74012-7501 Ph: (918) 455-2416 | Kash K. Biddle, Do, Pllc 3300 S Aspen Ave Suite C Broken Arrow OK 74012-7501 Ph: (918) 455-2416 |
NPI Number | 1477714590 |
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Provider Enumeration Date | 06/20/2008 |
Last Update Date | 06/20/2008 |
Medicare PECOS PAC ID | 0749353316 |
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Medicare Enrollment ID | O20080716000251 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477714590 | NPI | - | NPPES |
100145710A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2152 (Oklahoma) | Primary |
Provider Name | Kash K Biddle |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073566659 PECOS PAC ID: 8224101894 Enrollment ID: I20080716000227 |
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