Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 22910 | OK |
N | 207R00000X | Internist | 22910 | OK |
N | 111NI0900X | Internist | 22910 | OK |
NPI | 1124088661 |
---|---|
Provider Name | Muhammad Ghias |
First Address | Norman, OK 73070-5387 |
Second Address | Tahlequah, OK 74464-3324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 12/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I45981 | (02) |