Individual
AHMED REFAT ABDELAZIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1218 E 9TH ST STE 1, EDMOND, OK 73034-5796
(405) 926-0444
(405) 896-6725
Mailing address
1218 E 9TH ST STE 1, EDMOND, OK 73034-5796
(405) 926-0444
(405) 896-6725
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26276
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200339790A
—
OK
05
—
200399790B
—
OK
05
—
45-5399237
—
OK
Enumeration date
07/07/2008
Last updated
01/17/2018
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