Individual
ASWATHY KUMAR VAIKOM HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD M.B.B.S.
Contact information
Practice address
OU CHILDRENS HOSPITAL, 1200 EVERETT DR., OKLAHOMA CITY, OK 73104
(405) 271-4411
Mailing address
1200 EVERETT DR # NP2350, OKLAHOMA CITY, OK 73104-5047
(405) 271-4411
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
TEP6871
NE
2080P0202X
Pediatric Cardiology Physician
Primary
33833
OK
Other
Enumeration date
07/31/2012
Last updated
01/02/2019
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