Nelly Grigorian, MD
Student in an Organized Health Care Education/Training Program in Tulsa, OK. Individual provider (NPI-1).
NPI number1891437331
StatusActive
Last updated in NPPESApr 22, 2022
Details
- NPI
- 1891437331
- Entity type
- Individual (NPI-1)
- Name
- Nelly Grigorian
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2022
- Certification date
- Apr 22, 2022
- Last updated
- Apr 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | OK | Yes |
Practice location
4502 E 41st St Ste 2a44Tulsa, OK 74135-2536
Phone 918-619-4200
Mailing address
4502 E 41st St Ste 2a44Tulsa, OK 74135-2536
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