Provider Demographics
NPI:1871511733
Name:ALTAF, MUHAMMAD A (MD)
Entity Type:Individual
Prefix:MR
First Name:MUHAMMAD
Middle Name:A
Last Name:ALTAF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1122 NE 13TH ST
Mailing Address - Street 2:ORI 236
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-1039
Mailing Address - Country:US
Mailing Address - Phone:405-271-1515
Mailing Address - Fax:
Practice Address - Street 1:1200 N PHILLIPS AVE
Practice Address - Street 2:SUITE 9500
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-4600
Practice Address - Country:US
Practice Address - Phone:405-271-6549
Practice Address - Fax:405-271-7866
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2021-11-10
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Provider Licenses
StateLicense IDTaxonomies
OK234562080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology