Provider Demographics
NPI:1205157120
Name:RAMADAN, MOHAMMAD OMAR (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:OMAR
Last Name:RAMADAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:608 NW 9TH ST STE 5000
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1018
Mailing Address - Country:US
Mailing Address - Phone:405-772-4533
Mailing Address - Fax:405-772-4539
Practice Address - Street 1:SSM HEALTH MEDICAL GROUP UROLOGY
Practice Address - Street 2:608 NW 9TH ST., SUITE 5000
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102
Practice Address - Country:US
Practice Address - Phone:405-772-4533
Practice Address - Fax:405-772-4539
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2020-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK27834208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology