Individual
BAHIRU BELACHEW MEKETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 779-2721
(405) 779-2310
Mailing address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 779-2721
(405) 779-2310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27293
OK
208M00000X
Hospitalist Physician
Primary
27293
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200257680A
—
OK
Enumeration date
05/31/2008
Last updated
08/08/2016
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