Individual provider · NPI-1

Nelson Ivan Agudelo-Higuita, MD

Internal Medicine, Infectious Disease · Oklahoma City, OK

NPI number1194920074
StatusActive
Last updated in NPPESMay 15, 2017

Details

NPI
1194920074
Entity type
Individual (NPI-1)
Name
Nelson Ivan Agudelo-Higuita
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 19, 2007
Last updated
May 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RI0200X Internal Medicine, Infectious Disease25170OKYes
207R00000X Internal Medicine25170OK

Practice location

920 Stanton L Young Blvd # Wp1265
Oklahoma City, OK 73104-5036

Phone 405-271-6434 · Fax 405-271-6264

Mailing address

1122 Ne 13th Street
Ori 274
Oklahoma City, OK 73119-1039

Phone 405-271-1515 · Fax 405-271-6264

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