Reliant Health Providers Llc | |
1601 Sw 89th St Ste A100 Oklahoma City OK 73159-6357 | |
(405) 225-1122 | |
Not Available |
Full Name | Reliant Health Providers Llc |
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Speciality | Internal Medicine |
Location | 1601 Sw 89th St Ste A100, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Lauren Roche (EXECUTIVE ASSISTANT) |
Authorized Official Contact | 4052251122 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Reliant Health Providers Llc 1601 Sw 89th St Ste A100 Oklahoma City OK 73159-6357 Ph: (405) 225-1122 | Reliant Health Providers Llc 1601 Sw 89th St Ste A100 Oklahoma City OK 73159-6357 Ph: (405) 225-1122 |
NPI Number | 1548014129 |
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Provider Enumeration Date | 04/11/2024 |
Last Update Date | 04/11/2024 |
Medicare PECOS PAC ID | 3072955269 |
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Medicare Enrollment ID | O20240520001283 |
Identifier | Type | State | Issuer |
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1548014129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Danh Pham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932426269 PECOS PAC ID: 7214181379 Enrollment ID: I20130205000069 |
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