Healthcare Provider Details

I. General information

NPI: 1780432567
Provider Name (Legal Business Name): NABIL ALHAYEK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2024
Last Update Date: 10/16/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 CHILDRENS AVE
OKLAHOMA CITY OK
73104-4637
US

IV. Provider business mailing address

630 N. KELLEY AVE, APARTMENT 211
OKLAHOMA CITY OK
73117
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-5437
  • Fax:
Mailing address:
  • Phone: 405-210-5769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number43592
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: