Individual
DR. AHMED A AMAYEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1145 W I 240 SERVICE RD, BUILDING # I, OKLAHOMA CITY, OK 73139-2134
(405) 632-1783
(405) 631-0508
Mailing address
1145 W I 240 SERVICE RD, BUILDING I SUITE 100, OKLAHOMA CITY, OK 73139-2134
(405) 632-1783
(405) 631-0508
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
19121
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100260160B
—
OK
Enumeration date
08/15/2006
Last updated
03/29/2013
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