Healthcare Provider Details

I. General information

NPI: 1871789941
Provider Name (Legal Business Name): AMITABH GUMMAN BAMS, ND, PH.D, MPH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: AMIT GUMMAN BAMS, ND, PH.D, MPH.

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 09/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 NW 58TH ST SUITE # 750
OKLAHOMA CITY OK
73112-4804
US

IV. Provider business mailing address

3535 NW 58TH ST SUITE # 750
OKLAHOMA CITY OK
73112-4804
US

V. Phone/Fax

Practice location:
  • Phone: 405-947-4325
  • Fax:
Mailing address:
  • Phone: 405-947-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberNCCAOM # 006197
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: