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SOUTHERN OKLAHOMA PEDIATRICS INC NPI 1780705772


NPI Information

NPI: 1780705772
Provider Name: SOUTHERN OKLAHOMA PEDIATRICS INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1214 ARLINGTON ST
ADA, OK
ZIP 74820
Phone: (580) 436-2283
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SOUTHERN OKLAHOMA PEDIATRICS INC is a specialist in Ada, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHERN OKLAHOMA PEDIATRICS INC NPI is 1780705772. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1214 ARLINGTON ST
ADA, OK
ZIP 74820-045
Phone: (580) 436-2283
Fax: (580) 436-2291

The provider's authorized official is Tawfik Z Ramadan .
The authorized official title is Pediatrician and has the following contact phone number (580) 436-2283.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 1/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist11462OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100734530 AMEDICAIDOKLAHOMA
2E11792MEDICARE UPINOKLAHOMA
3443728847MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA
4100108060 AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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