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NPI Code Detail

MEDICARE: SPECTRUM MEDICAL ASSOCIATES

MEDICARE: SPECTRUM MEDICAL ASSOCIATES
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
1261QM2500XMedical Specialty Clinic/Center23361OK

General Provider Information

NPI Number : 1245432095
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECTRUM MEDICAL ASSOCIATES
Provider Business Mailing Address
First Line : 2225 SW 59TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-7026
Country : US
Telephone Number : 405-688-7700
Fax Number : 405-688-7702
Provider Business Practice Location Address
First Line : 2225 SW 59TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-7026
Country : US
Telephone Number : 405-688-7700
Fax Number : 405-688-7702
Authorized Official
Title or Position : FAMILY PRACTICE PHYSICIAN
Name : DR. HAMID MAHMOOD
Credential : M.D.
Telephone Number : 405-688-7700
Provider Enumeration Date : 06/04/2007
Last Update Date : 08/22/2020

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Directions to “SPECTRUM MEDICAL ASSOCIATES ” Practice Location

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