Healthcare Provider Details

I. General information

NPI: 1831875178
Provider Name (Legal Business Name): AHMET DEMIR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 NE 10TH ST # STREET1G
OKLAHOMA CITY OK
73104-5417
US

IV. Provider business mailing address

825 NE 10TH ST # STREET1G
OKLAHOMA CITY OK
73104-5417
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-4864
  • Fax: 405-271-4864
Mailing address:
  • Phone: 405-271-4864
  • Fax: 405-271-4864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number47233
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: