Individual
ARCHANA GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3500 HEALTHPLEX PKWY, SUITE 200, NORMAN, OK 73072-9738
(405) 515-2222
(405) 307-5617
Mailing address
PO BOX 1330, NORMAN, OK 73070-1330
(405) 360-3089
(405) 360-6765
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22150
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200113010B
—
OK
Enumeration date
02/07/2007
Last updated
07/21/2021
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