Avila, Anibal Mikjail
Avila, Anibal Mikjail is an individual health care provider with primary practice located at 101 S Park Ln , Altus OK 73521-5731. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Avila, Anibal Mikjail can be contacted via phone (580) 379-6140.Contact Information
Primary practice address
101 S Park Ln
Altus OK 73521-5731
Phone: (580) 379-6140
Fax: (580) 379-6149
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 36299 | Oklahoma |
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | BP10055824 | Texas |
Profile Details
NPI number | 1659735827 |
---|---|
LBN Legal business name | Avila, Anibal Mikjail |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2016 |
Last updated | Jun 5th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659735827 | NPPES |
Oklahoma | MEDICAID | 200929810A |
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