Mirabile, Charles Paul

Mirabile, Charles Paul is an individual health care provider with primary practice located at 4140 W Memorial Rd Ste 321, Oklahoma City OK 73120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Mirabile, Charles Paul can be contacted via phone (405) 748-4726.

Contact Information

Primary practice address
4140 W Memorial Rd Ste 321 Oklahoma City OK 73120
Phone: (405) 748-4726
Fax: (405) 607-8497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 20629 Oklahoma

Profile Details

NPI number 1326063017
LBN Legal business name Mirabile, Charles Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326063017 NPPES
Oklahoma MEDICAID 100821300A

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