MEDICARE: MUZAFFAR MUEEN SALEEMI MD

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	207Q00000X	Family Medicine Physician	26050	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26050	OTHER	OK	LICENSE

General Provider Information

NPI Number	:	1447241450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUZAFFAR MUEEN SALEEMI MD

Provider Business Mailing Address
First Line	:	1800 S DOUGLAS BLVD
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73130-6224
Country	:	US
Telephone Number	:	405-741-7722
Fax Number	:	405-741-7757

Provider Business Practice Location Address
First Line	:	1001 S DOUGLAS BLVD
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73130-5251
Country	:	US
Telephone Number	:	405-741-7722
Fax Number	:	405-741-7757

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	08/25/2020

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