Healthcare Provider Details

I. General information

NPI: 1205215761
Provider Name (Legal Business Name): SANJAY HAPANI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2015
Last Update Date: 05/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13301 N MERIDIAN AVE STE 501
OKLAHOMA CITY OK
73120-9368
US

IV. Provider business mailing address

13301 N MERIDIAN AVE STE 501
OKLAHOMA CITY OK
73120-9368
US

V. Phone/Fax

Practice location:
  • Phone: 405-752-0871
  • Fax: 405-601-7012
Mailing address:
  • Phone: 405-752-0871
  • Fax: 405-601-7012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number29637
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number29637
License Number StateOK

VIII. Authorized Official

Name: SANJAY HAPANI
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 405-601-6181