Healthcare Provider Details

I. General information

NPI: 1932151560
Provider Name (Legal Business Name): JANAE MICHELLE CLAPP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5915 W MEMORIAL RD STE 200
OKLAHOMA CITY OK
73142-2022
US

IV. Provider business mailing address

5300 N INDEPENDENCE AVE STE 280
OKLAHOMA CITY OK
73112-5555
US

V. Phone/Fax

Practice location:
  • Phone: 405-773-6400
  • Fax: 405-621-5441
Mailing address:
  • Phone: 405-773-6400
  • Fax: 405-621-5441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number22724
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: