Molloy, Allen R
Molloy, Allen R is an individual health care provider with primary practice located at 3330 Nw 56Th St Suite 206, Oklahoma City OK 73112-4479. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Molloy, Allen R can be contacted via phone (405) 945-4740.Contact Information
Primary practice address
3330 Nw 56Th St Suite 206
Oklahoma City OK 73112-4479
Phone: (405) 945-4740
Fax: (405) 945-4751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036163488 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 22334 | Oklahoma |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 22334 | Oklahoma |
Profile Details
| NPI number | 1720121684 |
|---|---|
| LBN Legal business name | Molloy, Allen R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | May 2nd, 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 | 1720121684 | NPPES |
| Oklahoma | Other | 248722910 | MEDICARE |
| Oklahoma | Other | 249722912 | MEDICARE |
| Oklahoma | Other | P00974065 | MEDICARE |
| Oklahoma | MEDICAID | 200106970A | MEDICARE |
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