Provider Demographics
NPI:1215921630
Name:RAYAN, GHAZI M (MD)
Entity type:Individual
Prefix:
First Name:GHAZI
Middle Name:M
Last Name:RAYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3366 NW EXPRESSWAY
Mailing Address - Street 2:SUITE 700
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4462
Mailing Address - Country:US
Mailing Address - Phone:405-945-4888
Mailing Address - Fax:405-945-4887
Practice Address - Street 1:3366 NW EXPRESSWAY
Practice Address - Street 2:SUITE 700
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4462
Practice Address - Country:US
Practice Address - Phone:405-945-4888
Practice Address - Fax:405-945-4887
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK12972207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKD35175Medicare UPIN