Individual
DR. SAMSON MULU AMBAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9230 E. RENO AVE SUITE B, MIDWEST CITY, OK 73130
(405) 737-4900
(405) 737-3606
Mailing address
9230 E. RENO AVE SUITE B, MIDWEST CITY, OK 73130
(405) 737-4900
(405) 737-3606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
62937
GA
207RN0300X
Nephrology Physician
Primary
28940
OK
208M00000X
Hospitalist Physician
N3441
TX
Other
Enumeration date
11/09/2007
Last updated
02/11/2015
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