# ADEL R MALATI, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073836532
- **Authorized official:** DR. ADEL RAMZI MALATI M.D. (PHYSICIAN)
- **Authorized official phone:** (918) 756-2800

## Contact information

- **Practice address:** 1201 S BELMONT AVE, SUITE \#101, OKMULGEE, OK 74447-6351
- **Practice address phone:** (918) 756-2800
- **Practice address fax:** (918) 756-2861
- **Mailing address:** 1201 S BELMONT AVE, SUITE \#101, OKMULGEE, OK 74447-6351
- **Mailing address phone:** (918) 756-2800
- **Mailing address fax:** (918) 756-2861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 18853 | OK | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | 35067408 | OH | — |

## Other

- **Enumeration date:** 03/11/2010
- **Last updated:** 03/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100120460B | — | OK |
| 05 | — | 100120460D | — | OK |