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NPI Code Detail

MEDICARE: VERONIQUE SEBASTIAN MD

MEDICARE: VERONIQUE SEBASTIAN 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 Physician20879OK

General Provider Information

NPI Number : 1740371129
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONIQUE SEBASTIAN MD
Provider Business Mailing Address
First Line : 12800 CASTLEROCK CT
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73142-5127
Country : US
Telephone Number : 405-245-5646
Fax Number : 405-755-5802
Provider Business Practice Location Address
First Line : 3000 W MEMORIAL RD STE 218
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-6103
Country : US
Telephone Number : 405-755-5801
Fax Number : 405-755-5802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 09/30/2025

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