Provider Demographics
NPI:1619914611
Name:EL-AMM, JOSE-MARIE ALBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE-MARIE
Middle Name:ALBERT
Last Name:EL-AMM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-949-3816
Mailing Address - Fax:405-713-7465
Practice Address - Street 1:3400 NW EXPRESSWAY
Practice Address - Street 2:SUITE 700
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4493
Practice Address - Country:US
Practice Address - Phone:405-949-3816
Practice Address - Fax:405-713-7465
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK26052207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200072980AMedicaid