Internal Medicine
Dr. HAYSAM GHANNOUM MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1205883220 · enumerated 2006-05-27 · record updated 2026-07-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1611 S UTICA AVE, # 414, TULSA, OK, 74104-4909 (918) 579-5724 Fax (918) 560-5791 Google Maps Apple Maps OpenStreetMap
- Practice location 1145 S UTICA AVE, STE 1105, TULSA, OK, 74104-4000 (918) 579-5724 Fax (918) 560-5791 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · Primary · License 21933 OK
In this directory
Locations and evidence
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Practice location
TULSA, OK, 741044000
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.