MEDICARE: MICHAEL ZANN MCMAHAN 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	332900000X	Non-Pharmacy Dispensing Site	24591
2	207Q00000X	Family Medicine Physician	24591	OK

General Provider Information

NPI Number	:	1710064209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ZANN MCMAHAN MD

Provider Business Mailing Address
First Line	:	7006 BROADWAY EXT
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-9006
Country	:	US
Telephone Number	:	405-916-4545
Fax Number	:

Provider Business Practice Location Address
First Line	:	7006 BROADWAY EXT
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-9006
Country	:	US
Telephone Number	:	405-916-4545
Fax Number	:

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	04/24/2026

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