Organization
AYANDEH HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARRASH ASGARI (OWNER)
(405) 412-1404
Entity
Organization
Contact information
Practice address
7 N MAIN STREET, KINGSTON, OK 73439
(405) 659-5656
(405) 659-5656
Mailing address
PO BOX 1115, NORMAN, OK 73070-1115
(405) 659-5656
(405) 701-5421
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
OK
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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