Individual
DR. MOHAMMAD IMRAN DOTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4050 W MEMORIAL RD FL 3, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 753-1870
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35598
IA
207RI0011X
Interventional Cardiology Physician
Primary
30868
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200561770A
—
OK
Enumeration date
10/07/2005
Last updated
06/06/2022
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