Individual
NEDAL AMIN ELASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 HIGHWAY 70 E, KINGSTON, OK 73439-8253
(580) 564-7405
Mailing address
901 S 5TH AVE, MADILL, OK 73446-3640
(580) 795-3384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33623
OK
Other
Enumeration date
04/20/2015
Last updated
09/03/2020
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