Individual
DR. SIAVASH NAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4720 S WESTERN AVE, OKLAHOMA CITY, OK 73109
(405) 634-5529
(405) 636-1673
Mailing address
4720 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3834
(405) 634-5529
(405) 636-1673
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
12064
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100038930A
—
OK
01
—
731186241
TAX ID UNDER GROUP
OK
Enumeration date
05/31/2005
Last updated
09/13/2018
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