Okwa Peds | |
1211 N Shartel Ave Ste 606 Oklahoma City OK 73103-2400 | |
(405) 235-9955 | |
Not Available |
Full Name | Okwa Peds |
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Speciality | Clinic/center - Primary Care |
Location | 1211 N Shartel Ave, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Wazir S Ahmad (OWNER) |
Authorized Official Contact | 4052359955 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Okwa Peds 1211 N Shartel Ave Ste 606 Oklahoma City OK 73103-2400 Ph: (405) 235-9955 | Okwa Peds 1211 N Shartel Ave Ste 606 Oklahoma City OK 73103-2400 Ph: (405) 235-9955 |
NPI Number | 1922262047 |
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Provider Enumeration Date | 07/17/2008 |
Last Update Date | 07/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922262047 | NPI | - | NPPES |
100118340B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 12461 (Oklahoma) | Primary |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
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Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
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