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ASSIA BENHACENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
(405) 271-8695
Mailing address
508 DARLENE TRL, EULESS, TX 76039-3886
(419) 503-0368

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35080505
OH
207L00000X
Anesthesiology Physician
37296
OK
207L00000X
Anesthesiology Physician
41349
KY
207L00000X
Anesthesiology Physician
A92875
CA
207L00000X
Anesthesiology Physician
Primary
ME86028
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000575194
ANTHEM BCBS
KY
05
2322089
OH
05
7100049130
KY
Enumeration date
09/07/2005
Last updated
11/01/2021
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