Provider Demographics
NPI:1992717847
Name:NAWAR, OLA MOHAMED (MD)
Entity type:Individual
Prefix:DR
First Name:OLA
Middle Name:MOHAMED
Last Name:NAWAR
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1145 SW 74TH STREET
Mailing Address - Street 2:BUILDING I
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139
Mailing Address - Country:US
Mailing Address - Phone:405-942-0411
Mailing Address - Fax:405-942-0450
Practice Address - Street 1:1145 SW 74TH STREET
Practice Address - Street 2:BUILDING I
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139
Practice Address - Country:US
Practice Address - Phone:405-942-0411
Practice Address - Fax:405-942-0450
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK206982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKG87040Medicare UPIN
OK231328712Medicare ID - Type Unspecified