Healthcare Provider Details

I. General information

NPI: 1710320627
Provider Name (Legal Business Name): HUGH CHRISTOPHER GARDNER NADEAU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2013
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 CHILDRENS AVE STE 1A
OKLAHOMA CITY OK
73104-4637
US

IV. Provider business mailing address

1200 CHILDRENS AVE STE 1A
OKLAHOMA CITY OK
73104-4637
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-5400
  • Fax: 405-271-5696
Mailing address:
  • Phone: 405-271-5400
  • Fax: 405-271-5696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number32827
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: