Individual
JASMINE R GADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 NE 13TH ST # 54, DEPARTMENT OF RHEUMATOLOGY, OKLAHOMA CITY, OK 73104-5005
(405) 271-7217
(405) 271-7256
Mailing address
825 NE 13TH ST # 54, DEPARTMENT OF RHEUMATOLOGY, OKLAHOMA CITY, OK 73104-5005
(405) 271-7217
(405) 271-7256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M3227
OK
207R00000X
Internal Medicine Physician
M3227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BG9680833
US CONTROLLED SUBSTANCE
—
Enumeration date
07/10/2006
Last updated
07/19/2009
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