Provider Demographics
NPI:1336712082
Name:OUILIKON MEDICAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:OUILIKON MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEVA
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:OUILIKON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-484-5140
Mailing Address - Street 1:16 N VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:REINHOLDS
Mailing Address - State:PA
Mailing Address - Zip Code:17569-9320
Mailing Address - Country:US
Mailing Address - Phone:717-484-5140
Mailing Address - Fax:717-484-5143
Practice Address - Street 1:16 N VILLAGE CIR
Practice Address - Street 2:
Practice Address - City:REINHOLDS
Practice Address - State:PA
Practice Address - Zip Code:17569-9320
Practice Address - Country:US
Practice Address - Phone:717-484-5140
Practice Address - Fax:717-484-5143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty