Healthcare Provider Details

I. General information

NPI: 1912567470
Provider Name (Legal Business Name): HAMZAH SALEEM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 NW 9TH ST STE 2200
OKLAHOMA CITY OK
73102-1049
US

IV. Provider business mailing address

777 NW 63RD ST STE 452
OKLAHOMA CITY OK
73116-7601
US

V. Phone/Fax

Practice location:
  • Phone: 405-231-3737
  • Fax:
Mailing address:
  • Phone: 405-231-3857
  • Fax: 405-272-7455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number47699
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: