Gautam, Archana
Gautam, Archana is an individual health care provider with primary practice located at 3500 Healthplex Pkwy Suite 200, Norman OK 73072-9738. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Gautam, Archana can be contacted via phone (405) 515-2222.Contact Information
Primary practice address
3500 Healthplex Pkwy Suite 200
Norman OK 73072-9738
Phone: (405) 515-2222
Fax: (405) 307-5617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 22150 | Oklahoma |
Profile Details
| NPI number | 1023158482 |
|---|---|
| LBN Legal business name | Gautam, Archana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 21st, 2021 - about 5 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 | 1023158482 | NPPES |
| Oklahoma | MEDICAID | 200113010B |
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