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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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