Abolmaali Damghani, Alireza

Abolmaali Damghani, Alireza is an individual health care provider with primary practice located at 1001 S Douglas Blvd , Midwest City OK 73130-5251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abolmaali Damghani, Alireza can be contacted via phone (214) 392-7042.

Contact Information

Primary practice address
1001 S Douglas Blvd Midwest City OK 73130-5251
Phone: (214) 392-7042
Fax: (405) 739-0335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26582 Oklahoma

Profile Details

NPI number 1427275775
LBN Legal business name Abolmaali Damghani, Alireza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Oct 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427275775 NPPES
Oklahoma MEDICAID 200203110A
Oklahoma Other OK401155

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