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NPI Code Detail

MEDICARE: DR. GABRIEL MATTHEW CUKA MD

MEDICARE: DR. GABRIEL MATTHEW CUKA MD
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
12084P0800XPsychiatry PhysicianMD00041249WA
22084P0800XPsychiatry Physician20299OK

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 : 1306879671
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GABRIEL MATTHEW CUKA MD
Provider Business Mailing Address
First Line : 6100 S WALKER AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-7026
Country : US
Telephone Number : 405-634-4400
Fax Number : 405-601-2374
Provider Business Practice Location Address
First Line : 6100 S WALKER AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73139-7026
Country : US
Telephone Number : 405-634-4400
Fax Number : 405-601-2374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 10/06/2017

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