Provider Demographics
NPI:1922428770
Name:MOHAMAD ALI, DEBORAH ZAYNEB (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ZAYNEB
Last Name:MOHAMAD ALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:DEBORAH
Other - Middle Name:ZAYNEB
Other - Last Name:MOHAMAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4502 E 41ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2536
Mailing Address - Country:US
Mailing Address - Phone:918-619-4400
Mailing Address - Fax:
Practice Address - Street 1:4444 E 41ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2527
Practice Address - Country:US
Practice Address - Phone:918-619-4400
Practice Address - Fax:918-619-4334
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK30656208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics