Individual
ANDRIA P MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4629 NW 23RD ST, OKLAHOMA CITY, OK 73127-2103
(405) 251-8880
(405) 251-8881
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 314-5257
(615) 692-0547
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
28651
OK
207R00000X
Internal Medicine Physician
Primary
28651
OK
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
28651
OK
Other
Enumeration date
06/06/2011
Last updated
01/25/2022
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