| Iftikhar A Sandhu, PA-C | |
|
2212 N Broadway St, Moore, OK 73160-4303 | |
| (405) 285-7222 | |
| (405) 285-7227 |
| Full Name | Iftikhar A Sandhu |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 2212 N Broadway St, Moore, Oklahoma |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730115577 | NPI | - | NPPES |
| 12163067 | Other | CAQH | |
| 100224630A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1021 (Oklahoma) | Primary |
| 363AM0700X | Physician Assistant - Medical | 1021 (Oklahoma) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Superior Family Care, Llc | 8527508951 | 2 |
| Quick Urgent Care Llc | 4486937505 | 9 |
| Entity Name | Emergency Services of Oklahoma PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | Midwest Hospital Medicine Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124388855 PECOS PAC ID: 4880841618 Enrollment ID: O20120829000397 |
| Entity Name | Quick Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467995589 PECOS PAC ID: 4486937505 Enrollment ID: O20170215000135 |
| Entity Name | Superior Family Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720846835 PECOS PAC ID: 8527508951 Enrollment ID: O20240911003345 |
| Mailing Address | Practice Location Address |
|---|---|
| Iftikhar A Sandhu, PA-C 2212 N Broadway St, Moore, OK 73160-4303 Ph: (405) 285-7222 | Iftikhar A Sandhu, PA-C 2212 N Broadway St, Moore, OK 73160-4303 Ph: (405) 285-7222 |
Leah Sitton, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 551 Se 4th St, Moore, OK 73160 Phone: 405-703-9321 |
Mrs. Jessica Elise Jackson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2109 S Santa Fe Ave, Moore, OK 73160 Phone: 405-213-0256 |
Mr. Tim M Laing, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 S Telephone Rd, Moore, OK 73160 Phone: 405-793-9355 |
Kenneth Demasters, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 507 Ne 12th St, Moore, OK 73160 Phone: 405-703-4202 |
Miss Kaitlin Elizabeth Wood, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2900 S Telephone Rd Ste 250, Moore, OK 73160 Phone: 405-237-7500 Fax: 405-237-7512 |
Makenzi Lane Miller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1060 Sw 4th St, Moore, OK 73160 Phone: 405-378-5491 Fax: 405-378-5492 |
Ms. Lisa Danette West, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 S Telephone Rd, Moore, OK 73160 Phone: 405-793-9355 Fax: 405-793-1621 |