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1205836491

NPI Code Detail

MEDICARE: MEHDI NAVID ADHAM MD

MEDICARE: MEHDI NAVID ADHAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	13913	OK
2	202C00000X	Independent Medical Examiner Physician	13913	OK
3	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	13913	OK
4	208200000X	Plastic Surgery Physician	13913	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13913	OTHER	OK	MEDICAL LICENSE

General Provider Information

NPI Number	:	1205836491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEHDI NAVID ADHAM MD

Provider Business Mailing Address
First Line	:	8100 S WALKER AVE
Second Line	:	BLGD A
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9402
Country	:	US
Telephone Number	:	405-632-4468
Fax Number	:	405-631-4964

Provider Business Practice Location Address
First Line	:	8100 S WALKER AVE BLDG A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9475
Country	:	US
Telephone Number	:	405-632-4468
Fax Number	:	405-632-0436

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	07/10/2019

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Directions to “ MEHDI NAVID ADHAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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