Individual
DR. BAL G VAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 685-6671
Mailing address
3801 NW 63RD ST, SUITE 160, OKLAHOMA CITY, OK 73116-1921
(405) 858-0600
(405) 858-0602
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13501
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100021780A
—
OK
Enumeration date
06/09/2006
Last updated
09/05/2008
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