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Individual

ASHRAF R MIHANNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3401 W GORE BLVD, LAWTON, OK 73505
(580) 510-7037
(580) 510-7038
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16578
OK
207R00000X
Internal Medicine Physician
16578
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
347459107
DOL
OK
01
4356523
AETNA
OK
Enumeration date
09/21/2005
Last updated
04/21/2025
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