NPI 1912640764 · live from the CMS NPI Registry
Carefirst Wellness Associates Of Ok LLC
Family Medicine in Chickasha, OK. National Provider Identifier 1912640764, active.
NPI record
| NPI | 1912640764 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2222 W Iowa Ave, Chickasha, OK 73018 |
| Practice phone | 405-224-8111 |
| Enumerated | April 19, 2022 |
| Last updated | April 19, 2022 |
| Authorized official | Hareshkumar Boghara, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Internal Medicine, Interventional Cardiology | 207RI0011X | — |
| 2086S0129X | — | |
| 208VP0000X | — | |
| Chiropractor | 111N00000X | — |
| Optometrist | 152W00000X | — |
| Internal Medicine | 207R00000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.