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Individual

MOHAMMAD KHALED JAMEL GHANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4050 W MEMORIAL RD FL 3, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 608-3910
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
36097360
IL
207RC0000X
Cardiovascular Disease Physician
K8755
TX
207RI0011X
Interventional Cardiology Physician
Primary
22744
OK
207RI0011X
Interventional Cardiology Physician
36097360
IL
207RI0011X
Interventional Cardiology Physician
K8755
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100847690A
OK
01
A013421562
VISA
01
P00306721
RAILROAD MEDICARE
OK
Enumeration date
11/25/2005
Last updated
06/06/2022
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