Provider Demographics
NPI:1881804029
Name:GALAN, RENE (MD)
Entity type:Individual
Prefix:
First Name:RENE
Middle Name:
Last Name:GALAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:2280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:918-540-7867
Mailing Address - Fax:918-540-7875
Practice Address - Street 1:310 2ND AVE SW
Practice Address - Street 2:STE 104
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-6743
Practice Address - Country:US
Practice Address - Phone:918-540-7867
Practice Address - Fax:918-540-7875
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2017-04-05
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Provider Licenses
StateLicense IDTaxonomies
OK29691207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100736700NMedicaid
OK200486990AMedicaid
OK200486990AMedicaid
OK291318YKW9Medicare PIN