Individual
KAMRAN MOHAJER MASSOUMI
Active
Individual
KAMRAN MOHAJER MASSOUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23117
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171274701
—
TX
05
—
200015260A
—
OK
01
—
2386811
UNITED HEALTHCARE
OK
01
—
7072482
AETNA
OK
Enumeration date
05/24/2005
Last updated
04/26/2024
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