Individual
JALAL ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 EVERETT DR, OKLAHOMA CITY, OK 73104
(405) 271-5125
Mailing address
1200 EVERETT DR, OKLAHOMA CITY, OK 73104-5047
(405) 271-5125
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01096344A
IN
2085R0202X
Diagnostic Radiology Physician
104313
GA
2085R0202X
Diagnostic Radiology Physician
34653
NH
2085R0202X
Diagnostic Radiology Physician
34684
OK
2085R0202X
Diagnostic Radiology Physician
MD29371
ME
2085R0202X
Diagnostic Radiology Physician
Primary
U8744
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770080251
—
ME
Enumeration date
04/10/2018
Last updated
03/12/2026
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