Kesserwan, Radwan
Kesserwan, Radwan is an individual health care provider with primary practice located at 608 N.W. 9Th Street Suite 6105, Oklahoma City OK 73102-1006. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kesserwan, Radwan can be contacted via phone (405) 231-3841.Contact Information
Primary practice address
608 N.W. 9Th Street Suite 6105
Oklahoma City OK 73102-1006
Phone: (405) 231-3841
Fax: (405) 231-3705
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22414 | Oklahoma |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 22414 | Oklahoma |
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 207RI0001X | 22414 | Oklahoma |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 22414 | Oklahoma |
Profile Details
NPI number | 1245324433 |
---|---|
LBN Legal business name | Kesserwan, Radwan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2006 |
Last updated | Oct 21st, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245324433 | NPPES |
Oklahoma | MEDICAID | 200407290A |
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