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General NPI Number Information
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NPI Number | 1558921080
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Entity Type | Individual
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Provider Name | REEM S KHODOR M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 13509 N MERIDIAN AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8397
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Country | US
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Telephone | 405-755-2273
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Fax | 405-751-3505
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Provider Business Mailing Address
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Address Line | 940 NE 13TH ST # 3G3210
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5008
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Country | US
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Telephone | 405-271-5125
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Fax | 405-271-3462
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 43627
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | R-11676
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 67849
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License Number State | MN
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