| Superior Family Care, Llc | |
|
1421 Nw 122nd St Oklahoma City OK 73114-8028 | |
| (405) 818-8392 | |
| Not Available |
| Full Name | Superior Family Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1421 Nw 122nd St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Saeeda Sharif Sandhu (MANAGER) |
| Authorized Official Contact | 4057404599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Family Care, Llc 1421 Nw 122nd St Oklahoma City OK 73114-8028 Ph: (405) 740-4599 | Superior Family Care, Llc 1421 Nw 122nd St Oklahoma City OK 73114-8028 Ph: (405) 818-8392 |
| NPI Number | 1720846835 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 12/18/2024 |
| Medicare PECOS PAC ID | 8527508951 |
|---|---|
| Medicare Enrollment ID | O20240911003345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720846835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa M Mcconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346753456 PECOS PAC ID: 8325301328 Enrollment ID: I20180404000483 |
| Provider Name | Muhammad F Riaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912353475 PECOS PAC ID: 0547663528 Enrollment ID: I20210728002606 |
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