Individual
MUSTAFA GHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 E MAIN ST, NORMAN, OK 73071-5305
(405) 573-6602
Mailing address
900 E MAIN ST, NORMAN, OK 73071-5305
(405) 573-6602
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
34862
OK
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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