Individual
MANYA SOMIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6132
(580) 220-6772
Mailing address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6132
(580) 220-6772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31973
OK
207R00000X
Internal Medicine Physician
4301101091
MI
Other
Enumeration date
12/03/2012
Last updated
07/07/2016
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