Individual
MAZEN AL-HAMWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3720 W BROADWAY ST, MUSKOGEE, OK 74401-2141
(918) 910-5301
(918) 910-5279
Mailing address
701 E DECATUR ST, BROKEN ARROW, OK 74011-3575
(918) 348-9715
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
23969
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200041600A
—
OK
01
—
P00182660
RR MEDICARE
—
Enumeration date
10/25/2006
Last updated
07/16/2019
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