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NPI Code Detail

MEDICARE: OKLAHOMA ONCOLOGY AND HEMATOLOGY, P.C.

MEDICARE: OKLAHOMA ONCOLOGY AND HEMATOLOGY, P.C.
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
1207RH0003XHematology & Oncology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053635110
Entity Type Code : Organization
Provider Name (Legal Business Name) : OKLAHOMA ONCOLOGY AND HEMATOLOGY, P.C.
Provider Business Mailing Address
First Line : 4401 W MEMORIAL RD
Second Line : 138
City : OKLAHOMA CITY
State : OK
Zip : 73134-1785
Country : US
Telephone Number : 405-936-2812
Fax Number : 405-936-2891
Provider Business Practice Location Address
First Line : 4301 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3411
Country : US
Telephone Number : 405-631-0919
Fax Number : 405-636-0518
Authorized Official
Title or Position : PAST PRESIDENT
Name : VIKKI ANN CANFIELD
Credential : M.D.
Telephone Number : 405-751-4343
Provider Enumeration Date : 03/18/2010
Last Update Date : 03/18/2010

Similar Medicare Providers

1699768374 — NASSER JANBAY M.D.
Practice Location Address:
4301 S WESTERN AVE
OKLAHOMA CITY, OK
73109-3411
Practice Phone: 405-631-0919
Practice Fax: 405-636-0518
1285685982 — DR. KHADER KHALID HUSSEIN M.D.
Practice Location Address:
4301 S WESTERN AVE
OKLAHOMA CITY, OK
73109-3411
Practice Phone: 405-631-0919
Practice Fax: 405-636-0518
1215988803 — DR. BASHAR SAMIR ALASAD M.D.
Practice Location Address:
4301 S WESTERN AVE
OKLAHOMA CITY, OK
73109-3411
Practice Phone: 405-631-0919
Practice Fax: 405-636-0518
1174609770 — RICHARD HAROLD BOTTOMLEY M.D.
Practice Location Address:
4301 S WESTERN AVE
OKLAHOMA CITY, OK
73109-3411
Practice Phone: 405-631-0919
Practice Fax: 405-636-0518
1285950840 — MELISSA BARNETT LMFT
Practice Location Address:
4301 S WESTERN AVE
OKLAHOMA CITY, OK
73109-3411
Practice Phone: 405-631-0919
Practice Fax: 405-636-0518
1275845778 — BILAL AHMAD M.D
Practice Location Address:
4301 S WESTERN AVE
OKLAHOMA CITY, OK
73109-3411
Practice Phone: 405-631-0919
Practice Fax: 405-636-0518

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