Organization
MUDASSIR NAWAZ, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUDASSIR NAWAZ M.D. (OWNER)
(405) 321-1004
Entity
Organization
Contact information
Practice address
500 E ROBINSON ST, SUITE 800, NORMAN, OK 73071-6697
(405) 321-1004
(405) 321-1074
Mailing address
500 E ROBINSON ST, SUITE 800, NORMAN, OK 73071-6697
(405) 321-1004
(405) 321-1074
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
24893
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200109440A
—
OK
Enumeration date
12/03/2013
Last updated
12/03/2013
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