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Individual

DR. AHMED TAREK BAHNASWY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
920 STANTON L YOUNG BLVD STE 1140, OKLAHOMA CITY, OK 73104-5036
(412) 586-8147
Mailing address
777 N MICHIGAN AVE APT 3105, CHICAGO, IL 60611-6639
(412) 586-8147

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125082836
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2189
WV
207LP3000X
Pediatric Anesthesiology Physician
BP10090667
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/19/2023
Last updated
05/11/2026
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