Individual
DR. PRADEEP KUMAR MADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 W GORE BLVD STE 103, LAWTON, OK 73505-6350
(580) 250-6555
(580) 354-5942
Mailing address
3201 W GORE BLVD STE 103, LAWTON, OK 73505-6350
(580) 250-6555
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35514
OK
Other
Enumeration date
07/17/2012
Last updated
11/13/2023
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