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

MR. MFISHAJI LADD JR., BHRS

Active Sole Proprietor

MR. MFISHAJI LADD JR., BHRS is a Contractor healthcare provider located in PRAGUE, Oklahoma. NPI 1790068716 is currently active in the NPPES registry. Verify at CMS.

Contractor · PRAGUE, OK

Registration Details

NPI Number
1790068716
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2011 (14.879344416263 yrs)
Last Updated
Sep 26, 2011
Sole Proprietor
Yes

Practice Information

Address
57533 MOCCASIN TRAIL RD
PRAGUE, OK, 748641143
Browse OK providers · Browse ZIP 74864
Phone
4055670054
Fax
4055670055
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in PRAGUE, OK

Name Credential NPI
CHASITEE QWINETTE BURDINE 1891009312
KATRINA RICHARDSON 1790063717
RAVEN WIND AYERS 1104108521
DEMETRIA LAVONNA TRYON 1447533369
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.