Dehadrai, Gautam
Dehadrai, Gautam is an individual health care provider with primary practice located at 901 N Porter Ave , Norman OK 73071-6404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dehadrai, Gautam can be contacted via phone (405) 307-1600.Contact Information
Primary practice address
901 N Porter Ave
Norman OK 73071-6404
Phone: (405) 307-1600
Fax: (405) 307-1604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2003-0258 | New Mexico |
Profile Details
| NPI number | 1982653424 |
|---|---|
| LBN Legal business name | Dehadrai, Gautam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Mar 10th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982653424 | NPPES |
| Oklahoma | MEDICAID | 200050770A |
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