Individual
GAURI GHATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12716 NE 36TH ST, SPENCER, OK 73084-9167
(405) 769-3301
(405) 769-0290
Mailing address
PO BOX 30589, MIDWEST CITY, OK 73140-3589
(405) 769-3301
(405) 769-9685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33851
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200776190A
—
OK
Enumeration date
05/15/2018
Last updated
04/11/2025
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