Individual
DR. JESSE P PANDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7000
Mailing address
8736 YASSIR BLVD, YUKON, OK 73099-3584
(918) 398-1950
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7312
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
05/18/2020
Last updated
04/29/2022
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