Provider Demographics
NPI:1952508533
Name:HAPANI, SANJAYKUMAR JAGDISHBHAI (MD)
Entity Type:Individual
Prefix:DR
First Name:SANJAYKUMAR
Middle Name:JAGDISHBHAI
Last Name:HAPANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13301 N MERIDIAN AVE
Mailing Address - Street 2:SUITE 501
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73120
Mailing Address - Country:US
Mailing Address - Phone:405-752-0872
Mailing Address - Fax:405-755-9510
Practice Address - Street 1:13301 N MERIDIAN AVE
Practice Address - Street 2:SUITE 501
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73120
Practice Address - Country:US
Practice Address - Phone:405-752-0872
Practice Address - Fax:405-755-9510
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1791502207R00000X
OK29637207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200486070AMedicaid