NPI 1023548948

Divine Prosperity LLC

Organisation Hospitalist Physician Mustang, OK

Practice location

Address: 1104 E State Highway 152 Unit 1, Mustang, OK 73064-5116
Phone: (405) 563-3998
Fax: (405) 563-3998
Mailing address: 15317 Grayson Dr, Edmond, OK 73013-2601

Authorised official

Name: Kishore Kumar
Title: Owner
Phone: (855) 541-2862

Registered specialties

Hospitalist Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 25877 (OK)

Other Hospitalist providers in Oklahoma →

Registry record

NPI: 1023548948
Entity type: Organization
NPI issued: 13 Jun 2017
Record last updated: 13 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.