Organization
CAREFIRST WELLNESS ASSOCIATES OF OK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARESHKUMAR BOGHARA MD (PRESIDENT)
(214) 250-2140
Entity
Organization
Contact information
Practice address
2222 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-8111
Mailing address
2222 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-8111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
213E00000X
Podiatrist
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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