Individual
ANOOSH MOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-8001
Mailing address
2317 NW 187TH TER, EDMOND, OK 73012-7688
(847) 429-8687
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125.069288
IL
2080P0210X
Pediatric Nephrology Physician
39109
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39109
—
OK
Enumeration date
07/01/2016
Last updated
10/18/2022
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