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General NPI Number Information
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NPI Number | 1437236692
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Entity Type | Organization
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Legal Business Name | RAVI K MALPANI MD INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 1044 SW 44TH ST SUITE 410
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-3609
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Country | US
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Telephone | 405-634-6417
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Fax | 405-632-7774
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Provider Business Mailing Address
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Address Line | 1044 SW 44TH ST SUITE 410
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-3609
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Country | US
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Telephone | 405-634-6417
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Fax | 405-632-7774
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAVI K MALPANI
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Credential | MD
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Telephone | 405-634-6417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 12768
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License Number State | OK
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