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Individual

DR. AMITABH GUMMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BAMS, ND, PH.D, MPH.

Contact information

Practice address
3535 NW 58TH ST, SUITE # 750, OKLAHOMA CITY, OK 73112-4804
(405) 947-4325
Mailing address
3535 NW 58TH ST, SUITE # 750, OKLAHOMA CITY, OK 73112-4804
(405) 947-4325

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
NCCAOM # 006197
171100000X
Acupuncturist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006197
NCCAOM
Enumeration date
09/21/2007
Last updated
09/21/2007
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