Organization
LANKIKE N ABEYEWARDENE MD PC
Active
Organization
LANKIKE N ABEYEWARDENE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELENIE NACHIMSON (CREDENTIALING SPECIALIST)
(405) 775-9350
Entity
Organization
Contact information
Practice address
3705 W MEMORIAL RD, 302, OKLAHOMA CITY, OK 73134-1512
(405) 775-9350
(405) 775-9360
Mailing address
PO BOX 272426, OKLAHOMA CITY, OK 73137-2426
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18585
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749350A
—
OK
01
—
17599500
DOL
—
01
—
5953317
AETNA
—
Enumeration date
09/23/2005
Last updated
06/16/2011
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