Individual
MR. RADWAN KESSERWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
608 N.W. 9TH STREET, SUITE 6105, OKLAHOMA CITY, OK 73102-1006
(405) 231-3841
(405) 231-3705
Mailing address
608 N.W. 9TH STREET, SUITE 6105, OKLAHOMA CITY, OK 73102-1006
(405) 231-3841
(405) 231-3705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22414
OK
207RC0000X
Cardiovascular Disease Physician
22414
OK
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
22414
OK
207RI0011X
Interventional Cardiology Physician
Primary
22414
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200407290A
—
OK
Enumeration date
10/03/2006
Last updated
10/21/2020
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