Individual
MAZEN ZOUWAYHED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13313 N MERIDIAN AVE, BUILDING D, OKLAHOMA CITY, OK 73120-8380
(405) 755-4290
(405) 755-7773
Mailing address
13313 N MERIDIAN AVE, BLDG D, OKLAHOMA CITY, OK 73120-8380
(405) 755-4290
(405) 755-7773
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39310
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
26145
OK
207RP1001X
Pulmonary Disease Physician
Primary
26145
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362555
ANTHEM BC/BS
KY
05
—
200225040A
—
OK
05
—
64097942
—
KY
Enumeration date
05/20/2006
Last updated
05/09/2017
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