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Individual

ALY EL BANAYOSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3349
(405) 552-0450
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(405) 949-3349
(405) 552-0450

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
30435
OK
207RC0000X
Cardiovascular Disease Physician
Primary
30345
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD431233
MEDICAL LICENSE
PA
Enumeration date
06/10/2008
Last updated
04/05/2017
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