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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEREK KABASAWA, PA-C

Active

DEREK KABASAWA, PA-C is a Physician Assistant healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1710611884 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · OKLAHOMA CITY, OK

Registration Details

NPI Number
1710611884
Provider Type
Individual
Gender
Male
NPI Issued
Jul 13, 2022 (4.0749031178861 yrs)
Last Updated
Oct 10, 2022
License
4813 (OK)

Practice Information

Address
13821 TECHNOLOGY DR STE B
OKLAHOMA CITY, OK, 731341046
Browse OK providers · Browse ZIP 73134
Phone
4054513454
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in OKLAHOMA CITY, OK

Name Credential NPI
SUSAN D WORSHAM PA 1245233113
MR. ROGER D HELLWEGE PA-C 1295738110
MICHAEL A THAYER PA 1558364422
JEFFREY D MARTENS PA 1659374049
GREGORY W DINWIDDIE PAC 1578567848
KENDALL LEIGH PHILLIPS PA 1306840327
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.