Individual
AMER BADREDEN NOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1417 NW 150TH ST, EDMOND, OK 73013-1305
(405) 418-4014
(405) 418-4136
Mailing address
1417 NW 150TH ST, EDMOND, OK 73013-1305
(405) 418-4041
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD433272
PA
2084N0400X
Neurology Physician
R-8249
IA
208VP0000X
Pain Medicine Physician
27605
OK
208VP0014X
Interventional Pain Medicine Physician
Primary
27605
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200312230A
—
OK
Enumeration date
01/14/2008
Last updated
07/06/2017
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