Individual
IDAYAT BRIMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 S MONROE ST STE 209, ENID, OK 73701-7211
(580) 213-9741
(580) 213-9740
Mailing address
3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 73134-2640
(580) 213-9741
(580) 213-9740
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
42910
OK
207RP1001X
Pulmonary Disease Physician
Primary
42910
OK
Other
Enumeration date
05/18/2018
Last updated
08/09/2024
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