Healthcare Provider Details

I. General information

NPI: 1336693845
Provider Name (Legal Business Name): MOHAMMAD NAJIM ALBERAWI MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2016
Last Update Date: 07/17/2020
Certification Date: 07/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 NE 13TH ST STE 3G3210
OKLAHOMA CITY OK
73104-5008
US

IV. Provider business mailing address

1653 W CONGRESS PKWY DEPT OF DIAGNOSTIC RADIOLOGY JELKE BUILDING 181
CHICAGO IL
60612-3833
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-5125
  • Fax:
Mailing address:
  • Phone: 847-736-1128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number35966
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: