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6908 E Reno Ave Midwest City OK 73110-2128 | |
(405) 737-6891 | |
(405) 737-7700 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 6908 E Reno Ave, Midwest City, Oklahoma |
Authorized Official Name and Position | Avinash C Vyas (OWNER) |
Authorized Official Contact | 4057376871 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 30954 Midwest City OK 73140-3954 Ph: (405) 737-6871 | 6908 E Reno Ave Midwest City OK 73110-2128 Ph: (405) 737-6891 |
NPI Number | 1750441804 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1750441804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | 20911 (Oklahoma) | Primary |
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