Individual
DR. RAJESH SAMANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1200 CHILDRENS AVE, OUCP 14000 A2, OKLAHOMA CITY, OK 73104-4637
(405) 271-4417
Mailing address
1200 CHILDRENS AVE, OUCP 14000 A2, OKLAHOMA CITY, OK 73104-4637
(405) 271-4417
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30726
OK
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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