Individual
LARAIB JAVED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5018
(405) 271-5963
Mailing address
136 NW 16TH ST APT 140, OKLAHOMA CITY, OK 73103-3434
(405) 930-7950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39627
OK
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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