| Medical Wellness And Health Llc | |
|
2124 Shadowlake Dr Bldg O Oklahoma City OK 73159-7441 | |
| (405) 378-0660 | |
| (405) 378-0668 |
| Full Name | Medical Wellness And Health Llc |
|---|---|
| Speciality | General Practice |
| Location | 2124 Shadowlake Dr Bldg O, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | George S Alhaj (PHYSICIAN / OWNER) |
| Authorized Official Contact | 4053780600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Wellness And Health Llc 2124 Shadowlake Dr Bldg O Oklahoma City OK 73159-7441 Ph: (405) 378-0600 | Medical Wellness And Health Llc 2124 Shadowlake Dr Bldg O Oklahoma City OK 73159-7441 Ph: (405) 378-0660 |
| NPI Number | 1821715434 |
|---|---|
| Provider Enumeration Date | 10/24/2022 |
| Last Update Date | 10/24/2022 |
| Medicare PECOS PAC ID | 7517336662 |
|---|---|
| Medicare Enrollment ID | O20221212001395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821715434 | NPI | - | NPPES |
| 22845 | Other | OK | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | George S Alhaj |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851368898 PECOS PAC ID: 2264456482 Enrollment ID: I20060113000928 |
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