Individual
MONA BAHAVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
500 SW 44TH ST, OKLAHOMA CITY, OK 73109-3540
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7345
OK
Other
Enumeration date
05/23/2020
Last updated
07/12/2023
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