Individual
AHMAD MISMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1705 E 19TH ST STE 201, TULSA, OK 74104-5404
(918) 403-7100
(918) 403-6404
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 403-7089
(918) 744-2946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44868
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2020
Last updated
05/27/2025
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