| K.ashok Md,pc | |
|
1211 N Shartel Ave Suite 208 Oklahoma City OK 73103-2400 | |
| (405) 209-2940 | |
| Not Available |
| Full Name | K.ashok Md,pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1211 N Shartel Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Krishnamuurthy Ashok (SOLE PROPRIETOR) |
| Authorized Official Contact | 4052092940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| K.ashok Md,pc 1211 N Shartel Ave Suite 208 Oklahoma City OK 73103-2400 Ph: () - | K.ashok Md,pc 1211 N Shartel Ave Suite 208 Oklahoma City OK 73103-2400 Ph: (405) 209-2940 |
| NPI Number | 1750540993 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/03/2008 |
| Medicare PECOS PAC ID | 9133282437 |
|---|---|
| Medicare Enrollment ID | O20090113000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750540993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 24186 (Oklahoma) | Primary |
| Provider Name | Ashok Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003987611 PECOS PAC ID: 9133282429 Enrollment ID: I20090113000532 |
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