Provider Demographics
NPI:1205215761
Name:SANJAY HAPANI MD PC
Entity Type:Organization
Organization Name:SANJAY HAPANI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAPANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-601-6181
Mailing Address - Street 1:13301 N MERIDIAN AVE STE 501
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-9368
Mailing Address - Country:US
Mailing Address - Phone:405-752-0871
Mailing Address - Fax:405-601-7012
Practice Address - Street 1:13301 N MERIDIAN AVE STE 501
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-9368
Practice Address - Country:US
Practice Address - Phone:405-752-0871
Practice Address - Fax:405-601-7012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK29637207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty