ENID HEART CLINIC & PEDS INC NPI 1871678938

NPI Information

ENID HEART CLINIC & PEDS INC is a cardiovascular disease internal medicine in Enid, OK. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ENID HEART CLINIC & PEDS INC NPI is 1871678938. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

620 S MADISON
#204
ENID, OK
ZIP 73701
Phone: (580) 234-1946
Fax: (580) 234-1972

The provider's authorized official is Suman Malhotra .
The authorized official title is Secretary & Treasurer and has the following contact phone number (580) 234-1946.

The CLIA number assigned to this NPI record is 37D1014662 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/22/2020.

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:

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