Individual
DR. HAFIDA RAKI MUMALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1111 S SAINT LOUIS AVE, TULSA, OK 74120-5440
(918) 619-4700
Mailing address
1705 E 19TH ST, STE 302, TULSA, OK 74104-5410
(918) 619-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4837
OK
Other
Enumeration date
11/20/2008
Last updated
07/01/2016
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