MEDICARE: PAMELA CRAVEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207UN0901X	Nuclear Cardiology Physician	17728	OK
2	207RC0000X	Cardiovascular Disease Physician	17728	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	060047284	OTHER	OK	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144214370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA CRAVEN M.D.

Provider Business Mailing Address
First Line	:	7800 NW 85TH TER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-3385
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4050 W MEMORIAL RD FL 3
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8382
Country	:	US
Telephone Number	:	405-608-3800
Fax Number	:	405-608-1524

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	06/06/2022

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Directions to “ PAMELA CRAVEN M.D.” Practice Location

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