Organization
ANDREW C GIN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW C GIN M.D. (OWNER)
(405) 682-9955
Entity
Organization
Contact information
Practice address
1211 N SHARTEL AVE, STE 600, OKLAHOMA CITY, OK 73103-2400
(405) 682-9955
(405) 682-9979
Mailing address
1211 N SHARTEL AVE, STE 600, OKLAHOMA CITY, OK 73103-2400
(405) 682-9955
(405) 682-9979
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
11482
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252780B
—
OK
01
—
1336110717
NPI INDIVIDUAL
OK
01
—
P00281427
RR MEDICARE
OK
Enumeration date
11/17/2008
Last updated
10/26/2012
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