Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 33975 | OK |
NPI | 1083099121 |
---|---|
Provider Name | Kisha Aziz Beg |
First Address | Oklahoma City, OK 73104-4637 |
Second Address | Oklahoma City, OK 73104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2015 |
Last Update Date | 02/10/2018 |