Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 30894 | OK |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 30894 | OK |
NPI | 1801203344 |
---|---|
Provider Name | Niket Muni |
First Address | Oklahoma City, OK 73104 |
Second Address | Oklahoma City, OK 73104-5420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2014 |
Last Update Date | 21/05/2021 |