MEDICARE: SANJAY HAPANI MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	29637	OK
2	207RH0003X	Hematology & Oncology Physician	29637	OK

General Provider Information

NPI Number	:	1205215761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANJAY HAPANI MD PC

Provider Business Mailing Address
First Line	:	13301 N MERIDIAN AVE STE 501
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-9368
Country	:	US
Telephone Number	:	405-752-0871
Fax Number	:	405-601-7012

Provider Business Practice Location Address
First Line	:	13301 N MERIDIAN AVE STE 501
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-9368
Country	:	US
Telephone Number	:	405-752-0871
Fax Number	:	405-601-7012

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	SANJAY HAPANI
Credential	:	M.D.
Telephone Number	:	405-601-6181

Provider Enumeration Date	:	05/29/2015
Last Update Date	:	05/29/2015

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