Provider Demographics
NPI:1740381011
Name:JUMEAN, HANI GEORGE (MD FRCP FACP)
Entity Type:Individual
Prefix:
First Name:HANI
Middle Name:GEORGE
Last Name:JUMEAN
Suffix:
Gender:M
Credentials:MD FRCP FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3206 W OKMULGEE AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401
Mailing Address - Country:US
Mailing Address - Phone:918-686-8500
Mailing Address - Fax:918-686-8900
Practice Address - Street 1:3206 W OKMULGEE AVE
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401
Practice Address - Country:US
Practice Address - Phone:918-686-8500
Practice Address - Fax:918-686-8900
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18238207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E50910Medicare UPIN