Individual
MODHI GUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6001 NW 120TH COURT, STE 6, OKLAHOMA CITY, OK 73162
(405) 728-7329
(405) 720-2611
Mailing address
6001 NW 120TH COURT, STE 6, OKLAHOMA CITY, OK 73162
(405) 728-7329
(405) 720-2611
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
13262
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131440A
—
OK
01
—
37D0471461
CLIA
—
Enumeration date
07/07/2006
Last updated
09/08/2015
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