Individual
MR. MICHAEL NAKMALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6100 S YALE AVE, TULSA, OK 74136-1923
(918) 494-0612
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3162
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/10/2019
Last updated
11/24/2020
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