Organization
MIDTOWN PULMONARY AND CRITICAL CARE SPECIALISTS PLLC
Active
Organization
MIDTOWN PULMONARY AND CRITICAL CARE SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD K ISHAQ MD (OWNER)
(855) 541-2862
Entity
Organization
Contact information
Practice address
1104 E STATE HIGHWAY 152 UNIT 1, MUSTANG, OK 73064-5116
(855) 541-2862
(405) 716-4808
Mailing address
13908 PORTOFINO STRADA, OKLAHOMA CITY, OK 73170-5176
(855) 541-2862
(405) 716-4808
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
27815
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200331590A
—
OK
Enumeration date
01/08/2018
Last updated
01/08/2018
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