Organization
RADWANE KESSERWANE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RADWANE KESSERWANE MD (MANAGING PARTNER)
(405) 231-3841
Entity
Organization
Contact information
Practice address
608 NW 9TH ST, SUITE 6105, OKLAHOMA CITY, OK 73102-1068
(405) 231-3841
(405) 231-3705
Mailing address
PO BOX 3352, OKLAHOMA CITY, OK 73101-3352
(405) 231-3841
(405) 231-3705
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22414
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22414
MEDICAL LICENSE
OK
Enumeration date
07/07/2011
Last updated
07/07/2011
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