Qutob, Mohd Omar
Qutob, Mohd Omar is an individual health care provider with primary practice located at 1919 S Wheeling Ave Ste 600 , Tulsa OK 74104-5635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Qutob, Mohd Omar can be contacted via phone (918) 619-4400.Contact Information
Primary practice address
1919 S Wheeling Ave Ste 600
Tulsa OK 74104-5635
Phone: (918) 619-4400
Fax: (918) 634-7560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 31642 | Oklahoma |
Profile Details
| NPI number | 1679952584 |
|---|---|
| LBN Legal business name | Qutob, Mohd Omar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2015 |
| Last updated | Nov 29th, 2022 - about 3 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 | 1679952584 | NPPES |
| Oklahoma | MEDICAID | 200600440B |
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