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Individual

DR. TARIQ MAHMOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2828 N GLENHAVEN DR, MIDWEST CITY, OK 73110-4002
(405) 732-4893
(405) 741-7820
Mailing address
2828 N GLENHAVEN DR, MIDWEST CITY, OK 73110-4002
(405) 732-4893
(405) 741-7820

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
17627
OK
207RX0202X
Medical Oncology Physician
Primary
35C.000982
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0034548
OH
05
100021640A
OK
Enumeration date
04/24/2006
Last updated
01/10/2024
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