Organization
ARDESHIR F. NIA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARDESHIR FAGHIH NIA MD (OWNER/ PRESIDENT)
(580) 286-4300
Entity
Organization
Contact information
Practice address
1211 E LINCOLN RD, IDABEL, OK 74745-7342
(580) 286-4300
(580) 286-5530
Mailing address
1211 E LINCOLN RD, IDABEL, OK 74745-7342
(580) 286-4300
(580) 286-5530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24784
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200234100A
—
OK
01
—
DP4346
RAILROAD
OK
Enumeration date
01/12/2009
Last updated
06/02/2014
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