Individual
DR. NHI X NAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-6651
(405) 271-1476
Mailing address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-6651
(405) 271-1476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9008
OK
Other
Enumeration date
04/29/2021
Last updated
08/14/2025
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