Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 12768 | OK |
NPI | 1053344283 |
---|---|
Provider Name | Ravi K. Malpani |
First Address | Oklahoma City, OK 73109-3609 |
Second Address | Oklahoma City, OK 73109-3609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 23/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100226880C | (05) | OK |
C95205 | (02) | OK |