| Clara Song, MD | |
|
1200 Everett Dr, 7th Floor North Pavilion, Oklahoma City, OK 73104-5047 | |
| (405) 271-5215 | |
| (405) 271-1236 |
| Full Name | Clara Song |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1200 Everett Dr, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417006388 | NPI | - | NPPES |
| A73456 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A73456 (California) | Secondary |
| 208000000X | Pediatrics | 27986 (Oklahoma) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Clara Song, MD 1200 Everett Dr, 7th Floor North Pavilion, Oklahoma City, OK 73104-5047 Ph: (405) 271-5215 | Clara Song, MD 1200 Everett Dr, 7th Floor North Pavilion, Oklahoma City, OK 73104-5047 Ph: (405) 271-5215 |
Elizabeth Clare Kutteh, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1200 Childrens Ave # 14000, Oklahoma City, OK 73104 Phone: 405-271-4417 | |
Deepthi Gopinathan Nair, MBBS, DNB PEDIATRICS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Oklahoma City, OK 73104 Phone: 425-655-8633 | |
Mary Anne Mccaffree, MS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, 7th Floor North Pavilion, Oklahoma City, OK 73104 Phone: 405-271-5215 Fax: 405-271-1236 | |
Sandra Jean Gilliland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-632-6688 Fax: 405-604-0708 | |
John August Ruth Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr Fl 10, Oklahoma City, OK 73104 Phone: 405-271-4417 | |
Samuel Levin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr, Oklahoma City, OK 73104 Phone: 405-271-5215 | |
Roa Muqbel, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Oklahoma City, OK 73104 Phone: 405-271-4417 |