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Organization

SIAVASH NAEL MD INC

Active
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Organization

SIAVASH NAEL MD INC

Active
Other names
Neuropsychiatric Center
Organization subpart
No

Provider details

NPI number
Authorized official
SIAVASH NAEL MD (PRESIDENT MEDICAL DIRECTOR)
(405) 634-5529
Entity
Organization

Contact information

Practice address
4720 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3834
(405) 634-5529
(405) 636-1673
Mailing address
4720 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3834
(405) 634-5529
(405) 636-1673

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12064
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02645739079
OK
01
1902809353
INDIVIDUAL NPI
Enumeration date
04/30/2007
Last updated
04/23/2018
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