Individual
MR. JONATHAN MANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 NE 10TH ST, STEPHENSON CANCER CENTER: OUHSC RADIATION ONCOLOGY, OKLAHOMA CITY, OK 73104-5418
(405) 271-8000
Mailing address
800 NE 10TH ST, STEPHENSON CANCER CENTER: OUHSC RADIATION ONCOLOGY, OKLAHOMA CITY, OK 73104-5418
(405) 271-8000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
APMD32480
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2015
Last updated
07/05/2016
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