Individual
GEORGE GHATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1110 N LEE AVE STE 200, OKLAHOMA CITY, OK 73103-2612
(405) 218-2530
(405) 218-2535
Mailing address
1110 N LEE AVE STE 200, OKLAHOMA CITY, OK 73103-2612
(405) 218-2530
(405) 218-2535
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32460
OK
207Q00000X
Family Medicine Physician
32460
OK
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
32460
OK
Other
Enumeration date
05/31/2016
Last updated
10/17/2022
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