Southern Oklahoma Pediatrics Inc in Ada - Specialist

Southern Oklahoma Pediatrics Inc - NPI 1780705772

Southern Oklahoma Pediatrics Inc is a Specialist in Ada, Oklahoma. Southern Oklahoma Pediatrics Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southern Oklahoma Pediatrics Inc is 1780705772. The last update date is 2010-01-07.

Southern Oklahoma Pediatrics Inc's current location address is 1214 Arlington St, Ada, Oklahoma. You can contact this provider via phone number 5804362283 and fax number 5804362291. The mailing address for Southern Oklahoma Pediatrics Inc is 1214 Arlington St, Ada, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern Oklahoma Pediatrics Inc
Address 1214 Arlington St, Ada, Oklahoma
Phone Number 5804362283
Fax Number 5804362291
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PEDIATRICI
Authorized Official Name Ramadan Z Tawfik
Credentials M.D.
Telephone Number 5804362283

NPI Number Detail

NPI Number 1780705772
Provider Enumeration Date 2007-04-03
Last Updated Date 2010-01-07

Provider Mailing Address Detail

Address 1214 Arlington St
City Ada
State Oklahoma (OK)
Post Code 748204045
Phone Number 5804362283
Fax Number 5804362291

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 11462
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100108060 A OK --
100734530 A OK --

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FAQs about Southern Oklahoma Pediatrics Inc

What is the unique 10-digit identifier code issued to Southern Oklahoma Pediatrics Inc by the Centers for Medicare & Medicaid Services?

The Southern Oklahoma Pediatrics Inc has been assigned the NPI (National Provider Identifier) 1780705772 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Southern Oklahoma Pediatrics Inc?

The Southern Oklahoma Pediatrics Inc is physically situated at 1214 Arlington St, in the city of Ada, state of OK, with the postal code 748204045.

What is Southern Oklahoma Pediatrics Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Southern Oklahoma Pediatrics Inc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1780705772 to Southern Oklahoma Pediatrics Inc?

The Centers for Medicare & Medicaid Services originally issued the 1780705772 to Southern Oklahoma Pediatrics Inc on 2007-04-03.

When was the information regarding Southern Oklahoma Pediatrics Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Southern Oklahoma Pediatrics Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-01-07.

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