Organization
HEALTH AND REHAB CLINIC, P.C.
Active
Organization
HEALTH AND REHAB CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADHAVI REDDY MUPPIDI M.D. (FOUNDER)
(580) 226-4400
Entity
Organization
Contact information
Practice address
1101 12TH AVE NW, SUITE # 100, ARDMORE, OK 73401-5736
(580) 226-4400
(580) 226-4410
Mailing address
1101 12TH AVE, NW, SUITE # 100, ARDMORE, OK 73401
(580) 226-4400
(580) 226-4410
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
22554
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02488974114
—
OK
05
—
100035370A
—
OK
Enumeration date
07/12/2006
Last updated
12/19/2007
Update your record
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