Individual
DR. MOHD OMAR QUTOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
920 STANTON L YOUNG BLVD # WP2140, OKLAHOMA CITY, OK 73104-5036
(405) 271-7912
Mailing address
700 NE 13TH ST # 38, OKLAHOMA CITY, OK 73104-5004
(405) 764-8066
(405) 271-1001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31642
OK
2086X0206X
Surgical Oncology Physician
Primary
31642
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200600440B
—
OK
Enumeration date
05/26/2015
Last updated
02/16/2026
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