SearchOklahoma363A00000X

Derek Kabasawa, PA-C

NPI 1710611884 · on the registry since 2022

Practice

Address
13821 Technology Dr Ste B
Oklahoma City, OK 73134
Phone
(405) 451-3454
Organisation at this address
Olive Branch Psychiatry
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma