Individual
MIRAZIZ ISMOILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
940 NE 13TH ST # 3210, OKLAHOMA CITY, OK 73104-5008
(405) 271-5125
Mailing address
940 NE 13TH ST # 3210, OKLAHOMA CITY, OK 73104-5008
(405) 271-5125
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
43655
OK
Other
Enumeration date
03/30/2023
Last updated
09/23/2024
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