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Suit A. Malia, M.D. Board Certified Gastroenterology 3366 NW Expressway #400 Oklahoma City OK 73112 (405) 7021300, Fax (405) 7021285 www.okddsi.netYour Colonoscopy is scheduled for: ___Please check
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Dr. Sumit Walia is a physician specializing in internal medicine.
Dr. Sumit Walia or his designated representative is required to file the form.
The form can be filled out online or submitted in person at the designated location.
The purpose of the form is to provide detailed information about the medical practice and services provided by Dr. Sumit Walia.
Information such as patient demographics, medical procedures performed, billing information, and insurance details must be reported on the form.
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