Provider Demographics
NPI:1346561495
Name:PIERSON, NAMALI (MD)
Entity Type:Individual
Prefix:
First Name:NAMALI
Middle Name:
Last Name:PIERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E ROBINSON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6652
Mailing Address - Country:US
Mailing Address - Phone:405-321-4644
Mailing Address - Fax:405-447-1061
Practice Address - Street 1:701 E ROBINSON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6652
Practice Address - Country:US
Practice Address - Phone:405-321-4644
Practice Address - Fax:405-447-1061
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK27846207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine