Comprehensive Infectious Disease Center PC
Internal Medicine, Infectious Disease in Tulsa, OK. Organization (NPI-2).
NPI number1639394331
StatusActive
Last updated in NPPESJul 14, 2010
Details
- NPI
- 1639394331
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Infectious Disease Center PC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2007
- Last updated
- Jul 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | Yes |
Practice location
8803 S 101st East AveSuite 350
Tulsa, OK 74133-5726
Phone 918-615-3750
Mailing address
8803 S 101st East AveSuite 350
Tulsa, OK 74133-5726
Phone 918-615-3750
Authorized official
Peter Okwuasaba
Owner Operator
9186153750
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