Individual
MOHAMED S ESLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 619-4400
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34791
OK
Other
Enumeration date
04/08/2019
Last updated
05/17/2022
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