Individual
DR. JEFFREY MITCHELL RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4050 W MEMORIAL RD FL 3, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 608-4768
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
214018
NY
2086S0129X
Vascular Surgery Physician
Primary
34885
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02002528
—
NY
01
—
1023087772
OHH PHYSICIANS GROUP NPI
OK
05
—
200857710A
—
OK
01
—
849362
MEDICARE PTAN
OK
01
—
BD7C7CJEW
MEDICAID PIN - OK
OK
01
—
P00472303
RAILROAD MEDICARE
NY
Enumeration date
06/28/2006
Last updated
06/06/2022
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