MEDICARE: VADAKEPAT RAMGOPAL M D INC

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	207RI0200X	Infectious Disease Physician	1 1191	OK

Other Identifiers

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

General Provider Information

NPI Number	:	1811025588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VADAKEPAT RAMGOPAL M D INC

Provider Business Mailing Address
First Line	:	3400 NW EXPRESSWAY
Second Line	:	SUITE 410
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4403
Country	:	US
Telephone Number	:	405-945-4816
Fax Number	:	405-945-4824

Provider Business Practice Location Address
First Line	:	3400 NW EXPRESSWAY
Second Line	:	SUITE 410
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4403
Country	:	US
Telephone Number	:	405-945-4816
Fax Number	:	405-945-4824

Authorized Official
Title or Position	:	OWNER
Name	:	VADAKEPAT RAMGOPAL
Credential	:	MD
Telephone Number	:	405-945-4816

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	02/22/2011

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