Organization
INTERNAL MEDICINE & GERIATRIC PRACTICE, PC
Active
Organization
INTERNAL MEDICINE & GERIATRIC PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAKSHMI RAMAKRISHNAN MD (PHYSICIAN OWNER)
(405) 445-4450
Entity
Organization
Contact information
Practice address
3100 NORTHWEST BLVD, NORMAN, OK 73072-4115
(405) 310-9345
(405) 337-9650
Mailing address
4400 WILLOW GROVE DR, NORMAN, OK 73072-4910
(405) 310-9345
(405) 337-9650
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100846810A
—
OK
Enumeration date
01/20/2007
Last updated
12/29/2023
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