Azadi, Reza John
Azadi, Reza John is an individual health care provider with primary practice located at 6465 S Yale Ave Ste 804 , Tulsa OK 74136-7810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Azadi, Reza John can be contacted via phone (918) 502-3550.Contact Information
Primary practice address
6465 S Yale Ave Ste 804
Tulsa OK 74136-7810
Phone: (918) 502-3550
Fax: (918) 502-3555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4270 | Oklahoma |
Profile Details
| NPI number | 1932300472 |
|---|---|
| LBN Legal business name | Azadi, Reza John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Apr 1st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932300472 | NPPES |
| Oklahoma | MEDICAID | 200181090A |
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