Individual provider · NPI-1

Dr. Azzam Almounajjed, M.D.

Internal Medicine · Muskogee, OK

NPI number1508876590
StatusActive
Last updated in NPPESMay 21, 2012

Details

NPI
1508876590
Entity type
Individual (NPI-1)
Name
Dr. Azzam Almounajjed
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 9, 2006
Last updated
May 21, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine26649OKYes

Practice location

3900 W Broadway
Muskogee, OK 74401

Phone 918-682-8612

Mailing address

4429 W Kent Cir
Broken Arrow, OK 74012-9426

Phone 917-400-0938

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