Individual
ISLAM GAMAL MARAWAN ELMITWALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4417
Mailing address
626 LEHMAN ST APT 208, COLUMBUS, OH 43206-2494
(614) 477-4298
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43561
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2024
Last updated
09/26/2024
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