Provider Demographics
NPI:1679509657
Name:KRABLIN, JAMES B (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:KRABLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8900 SILVER HILL DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-3316
Mailing Address - Country:US
Mailing Address - Phone:405-557-1200
Mailing Address - Fax:405-557-1977
Practice Address - Street 1:301 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:OK
Practice Address - Zip Code:73051-8960
Practice Address - Country:US
Practice Address - Phone:405-590-4478
Practice Address - Fax:405-696-5038
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK21711207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK7206397OtherAETNA
OK611206400OtherDEPT OF LABOR
OK100192620EMedicaid
OK100756040AMedicaid
OK82054754073750A002OtherTRICARE
OK100192620FOtherSOONERCARE MEDICAID
OK611206400OtherDEPT OF LABOR
OK82054754073750A002OtherTRICARE
OK100192620EMedicaid