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NPI Code Detail

MEDICARE: A. AMIL MD, INC

MEDICARE: A. AMIL MD, INC
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
1207RC0000XCardiovascular Disease Physician12579OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295969889
Entity Type Code : Organization
Provider Name (Legal Business Name) : A. AMIL MD, INC
Provider Business Mailing Address
First Line : 2225 SW 59TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-7026
Country : US
Telephone Number : 405-478-5222
Fax Number : 405-478-5223
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 : 405-478-5222
Fax Number : 405-478-5223
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. AZHAR AMIL
Credential : M.D.
Telephone Number : 405-478-5222
Provider Enumeration Date : 05/11/2009
Last Update Date : 05/11/2009

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