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Individual

MOSTAFA KHATTAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1100 N LINDSAY AVE, OKLAHOMA CITY, OK 73104-5410
(405) 271-4000
Mailing address
5020 S 72ND EAST AVE, TULSA, OK 74145-6805

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7754
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/03/2021
Last updated
06/21/2022
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