Organization
ACCESS ENDOCRINE, THYROID AND DIABETES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MODHI GUDE MD (OWNER)
(405) 728-7329
Entity
Organization
Contact information
Practice address
6001 NW 120TH CT, SUITE 6, OKLAHOMA CITY, OK 73162-1700
(405) 728-7329
(405) 720-2611
Mailing address
PO BOX 268988, OKLAHOMA CITY, OK 73126-8988
(405) 843-2066
(405) 843-2077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13262
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131440A
—
OK
01
—
37D0471461
CLIA
OK
01
—
447721027005
BCBS
OK
Enumeration date
07/16/2006
Last updated
09/16/2015
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