Individual
DR. HANI RAMZI MALATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 S BELMONT AVE, SUITE 101, OKMULGEE, OK 74447-6315
(918) 756-9271
(918) 756-4695
Mailing address
1101 S BELMONT AVE, SUITE 101, OKMULGEE, OK 74447-6315
(918) 756-9271
(918) 756-4695
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
14985
OK
207YX0602X
Otolaryngic Allergy Physician
14985
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100031430A
—
OK
Enumeration date
09/07/2005
Last updated
12/10/2009
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