Organization
EAR NOSE & THROAT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANI RAMZI MALATI MD (PRESIDENT)
(918) 756-9271
Entity
Organization
Contact information
Practice address
1101 S BELMONT AVE, SUITE 101, OKMULGEE, OK 74447-6315
(918) 756-9271
(918) 756-4695
Mailing address
1101 S BELMONT AVE, SUITE 101, OKMULGEE, OK 74447-6315
(918) 756-9271
(918) 756-4695
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
14985
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100739380A
—
OK
Enumeration date
02/28/2007
Last updated
10/31/2007
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