Individual
BAHA AL-DEEN ABU-ESHEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
908 N ROCKFORD RD STE A, ARDMORE, OK 73401-2541
(580) 223-0447
(580) 223-2989
Mailing address
PO BOX 268996, OKLAHOMA CITY, OK 73126-8996
(580) 223-0447
(580) 223-2989
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22441
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22441
OKLAHOMA LICENSE
OK
Enumeration date
07/07/2006
Last updated
06/30/2020
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