Organization
ENID GASTROENTEROLOGY, INC., P.C.
Active
Other names
Enid Gastroenterology, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANKU ROHINI MD (OFFICE MANAGER)
(582) 234-0285
Entity
Organization
Contact information
Practice address
330 S 5TH ST, SUITE 301, ENID, OK 73701-5825
(580) 234-0285
(580) 234-0590
Mailing address
330 S 5TH ST, SUITE 301, ENID, OK 73701-5825
(580) 234-0285
(580) 234-0590
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12331
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100748230A
—
OK
Enumeration date
08/10/2006
Last updated
01/31/2012
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