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NPI Code Detail

MEDICARE: NASSER JANBAY M.D.

MEDICARE: NASSER JANBAY M.D.
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
1207RH0003XHematology & Oncology Physician48471KS
2207RH0003XHematology & Oncology Physician25205OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699768374
Entity Type Code : Individual
Provider Name (Legal Business Name) : NASSER JANBAY M.D.
Provider Business Mailing Address
First Line : 5300 N INDEPENDENCE AVE
Second Line : SUITE 280
City : OKLAHOMA CITY
State : OK
Zip : 73112-5556
Country : US
Telephone Number : 405-631-0919
Fax Number : 405-636-0518
Provider Business Practice Location Address
First Line : 4301 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3411
Country : US
Telephone Number : 405-631-0919
Fax Number : 405-636-0518
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 06/02/2025

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Directions to “ NASSER JANBAY M.D.” Practice Location

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