Doctor Name: | DR. AMARDEEP S MANN |
NPI Number: | 1396715181 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A65477 |
Business Practice Address: | 1908 N 14th Suite 201 Ponca City, OK - 74601 |
Business Phone Number: | 5807184505 |
Business Fax Number: | 5807634574 |
Mailing Address: | 1908 N 14th, Suite 201 PONCA CITY |
State: | OK |
Postal Code: | 74601 |
Phone Number: | 5807184505 |
Fax Number: | 5807634574 |
NPI Enumeration Date: | 01/24/2006 |
NPI Last Update Date: | 02/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A65477 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |