Organization
ADEL R MALATI, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEL RAMZI MALATI M.D. (PHYSICIAN)
(918) 756-2800
Entity
Organization
Contact information
Practice address
1201 S BELMONT AVE, SUITE #101, OKMULGEE, OK 74447-6351
(918) 756-2800
(918) 756-2861
Mailing address
1201 S BELMONT AVE, SUITE #101, OKMULGEE, OK 74447-6351
(918) 756-2800
(918) 756-2861
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
18853
OK
261QM2500X
Medical Specialty Clinic/Center
35067408
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120460B
—
OK
05
—
100120460D
—
OK
Enumeration date
03/11/2010
Last updated
03/11/2010
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