Provider Demographics
NPI:1194757963
Name:APPIAH, MARILYN (DO)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:
Last Name:APPIAH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1330
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-1330
Mailing Address - Country:US
Mailing Address - Phone:405-793-2229
Mailing Address - Fax:405-307-6660
Practice Address - Street 1:2625 SW 119TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-2654
Practice Address - Country:US
Practice Address - Phone:405-793-2229
Practice Address - Fax:405-912-3579
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4050207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200016910AMedicaid
OK200016910AMedicaid
H98349Medicare UPIN