| Oklahoma Vascular And Embolization Center By Flex Medical Group | |
|
8324 S Walker Ave Okahoma City OK 73139 | |
| (405) 768-5749 | |
| Not Available |
| Full Name | Oklahoma Vascular And Embolization Center By Flex Medical Group |
|---|---|
| Speciality | Radiology |
| Location | 8324 S Walker Ave, Okahoma City, Oklahoma |
| Authorized Official Name and Position | Michelle Clark (COO) |
| Authorized Official Contact | 4057685749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Vascular And Embolization Center By Flex Medical Group 1145 W I 240 Service Rd Ste F10 Oklahoma City OK 73139-2171 Ph: (405) 768-5749 | Oklahoma Vascular And Embolization Center By Flex Medical Group 8324 S Walker Ave Okahoma City OK 73139 Ph: (405) 768-5749 |
| NPI Number | 1356124325 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 05/15/2024 |
| Medicare PECOS PAC ID | 1254771421 |
|---|---|
| Medicare Enrollment ID | O20240506000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356124325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | (* (Not Available)) | Primary |
| Provider Name | Gautam Dehadrai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982653424 PECOS PAC ID: 2264338318 Enrollment ID: I20061006000589 |
| Provider Name | Kathylee Santangelo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811090095 PECOS PAC ID: 8426039082 Enrollment ID: I20070309000279 |
| Provider Name | Senthil K Raju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922009075 PECOS PAC ID: 3779560719 Enrollment ID: I20090122000126 |
| Provider Name | Venkatram Rajaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154359768 PECOS PAC ID: 0143380253 Enrollment ID: I20111117000320 |
| Provider Name | Shyam Poludasu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811171705 PECOS PAC ID: 3072648518 Enrollment ID: I20120215000723 |
| Provider Name | Karthik Mikkineni |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558649558 PECOS PAC ID: 7315226735 Enrollment ID: I20240812000509 |