Organization
NEW AGE RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OGANES ASHIKYAN MD (PRESIDENT)
(405) 213-0060
Entity
Organization
Contact information
Practice address
17923 N PORTLAND AVE, EDMOND, OK 73012-8960
(405) 213-0060
Mailing address
1050 E 2ND ST, #243, EDMOND, OK 73034-5313
(405) 213-0060
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
26854
OK
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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