| New Direction Acute Dialysis Llc | |
|
4334 Nw Expressway Ste 165 Oklahoma City OK 73116-1515 | |
| (580) 695-1306 | |
| (405) 767-6741 |
| Full Name | New Direction Acute Dialysis Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4334 Nw Expressway Ste 165, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Leslie Whiles (OWNER) |
| Authorized Official Contact | 5806951306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Direction Acute Dialysis Llc 4334 Nw Expressway Ste 165 Oklahoma City OK 73116-1515 Ph: (580) 695-1306 | New Direction Acute Dialysis Llc 4334 Nw Expressway Ste 165 Oklahoma City OK 73116-1515 Ph: (580) 695-1306 |
| NPI Number | 1538723952 |
|---|---|
| Provider Enumeration Date | 05/01/2019 |
| Last Update Date | 05/01/2019 |
| Medicare PECOS PAC ID | 1759619836 |
|---|---|
| Medicare Enrollment ID | O20190828000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538723952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Magdalena Barbara Sikora |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598896110 PECOS PAC ID: 2062688229 Enrollment ID: I20120110000646 |
| Provider Name | Joseph Ghata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215258017 PECOS PAC ID: 3678700713 Enrollment ID: I20131216001292 |
| Provider Name | Usman Bhutta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588896997 PECOS PAC ID: 6204055742 Enrollment ID: I20140916002187 |
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