Haysam Ghannoum in Tulsa - Internal Medicine

Haysam Ghannoum - NPI 1205883220

Haysam Ghannoum is a Internal Medicine in Tulsa, Oklahoma. Haysam Ghannoum practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Haysam Ghannoum is 1205883220. The last update date is 2007-07-09.

Haysam Ghannoum's current location address is 1611 S Utica Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9185795724 and fax number 9185605791. The mailing address for Haysam Ghannoum is 1611 S Utica Ave, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Haysam Ghannoum
Address 1611 S Utica Ave, Tulsa, Oklahoma
Phone Number 9185795724
Fax Number 9185605791
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1205883220
Provider Enumeration Date 2006-05-27
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1611 S Utica Ave
City Tulsa
State Oklahoma (OK)
Post Code 741044909
Phone Number 9185795724
Fax Number 9185605791

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 21933
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00096057 OK RAILROAD MEDICARE PIN

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FAQs about Haysam Ghannoum

What is the unique 10-digit identifier code issued to Haysam Ghannoum by the Centers for Medicare & Medicaid Services?

The Haysam Ghannoum has been assigned the NPI (National Provider Identifier) 1205883220 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Haysam Ghannoum?

The Haysam Ghannoum is physically situated at 1611 S Utica Ave, in the city of Tulsa, state of OK, with the postal code 741044909.

What is Haysam Ghannoum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Haysam Ghannoum is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

When was the Haysam Ghannoum's 1205883220 issued?

The Haysam Ghannoum's 1205883220 was issued on 2006-05-27.

When was the information related to Haysam Ghannoum most recently updated or refreshed?

The details pertaining to the Haysam Ghannoum, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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