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Individual

MR. KHURRAM LIAQAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
9020 E RENO AVE STE 200, MIDWEST CITY, OK 73130-3336
(917) 443-0950
Mailing address
539 85TH ST APT 5D, BROOKLYN, BROOKLYN, NY 11209-4830
(917) 443-0950

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
33037
OK
207RI0011X
Interventional Cardiology Physician
71637
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200104630
OK
Enumeration date
12/03/2010
Last updated
08/27/2019
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