Tirsit Adane, MD
Family Medicine in Edmond, OK. Individual provider (NPI-1).
NPI number1780942300
StatusActive
Last updated in NPPESSep 11, 2015
Details
- NPI
- 1780942300
- Entity type
- Individual (NPI-1)
- Name
- Tirsit Adane
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2012
- Last updated
- Sep 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD043148 | DC | Yes |
Practice location
14103 Fairhill AvenueEdmond, OK 73013-1936
Phone 405-627-0471
Mailing address
14103 Fairhill AveEdmond, OK 73013-1936
Phone 405-627-0471
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