Khalili, Mohammad Fazel
Khalili, Mohammad Fazel is an sole proprietor health care provider with primary practice located at 105 S Bryant Ave Suite 202, Edmond OK 73034-6399. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khalili, Mohammad Fazel can be contacted via phone (405) 340-4565.Contact Information
Primary practice address
105 S Bryant Ave Suite 202
Edmond OK 73034-6399
Phone: (405) 340-4565
Fax: (405) 340-4583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23879 | Oklahoma |
Profile Details
| NPI number | 1508807389 |
|---|---|
| LBN Legal business name | Khalili, Mohammad Fazel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1508807389 | NPPES |
| Oklahoma | Other | 23879 | MEDICAL LICENSE |
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