Individual provider · NPI-1

Keivan Abtahi, D.O.

Orthopaedic Surgery · Tulsa, OK

NPI number1295000560
StatusActive
Last updated in NPPESJul 5, 2024

Details

NPI
1295000560
Entity type
Individual (NPI-1)
Name
Keivan Abtahi
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 19, 2012
Certification date
May 14, 2021
Last updated
Jul 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery5343OKYes

Practice location

6161 S Yale Ave
Tulsa, OK 74136-1992

Phone 918-494-6980 · Fax 918-494-4573

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331

Phone 888-247-0125 · Fax 918-502-8210

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