Provider Demographics
NPI:1740403633
Name:OKLAHOMA HEALTH SCIENCE CENTER DEPT OF PEDIATRICS
Entity Type:Organization
Organization Name:OKLAHOMA HEALTH SCIENCE CENTER DEPT OF PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR NICU OUHSC CHILDRE
Authorized Official - Prefix:
Authorized Official - First Name:KRISHNAMURTHY
Authorized Official - Middle Name:CHANDRA
Authorized Official - Last Name:SEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-271-5215
Mailing Address - Street 1:1200 EVERETT DRIVE
Mailing Address - Street 2:7TH FLOOR NORTH PAVILION
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5047
Mailing Address - Country:US
Mailing Address - Phone:405-271-5215
Mailing Address - Fax:405-271-1236
Practice Address - Street 1:1200 EVERETT DRIVE
Practice Address - Street 2:7TH FLOOR NORTH PAVILION
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5047
Practice Address - Country:US
Practice Address - Phone:405-271-5215
Practice Address - Fax:405-271-1236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0075677284300000X, 363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical CareGroup - Single Specialty
No284300000XHospitalsSpecial Hospital