Fazel, Poorya
Fazel, Poorya is an individual health care provider with primary practice located at 6151 S Yale Ave Suite A-100, Tulsa OK 74136-1907. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Fazel, Poorya can be contacted via phone (918) 494-8500.Contact Information
Primary practice address
6151 S Yale Ave Suite A-100
Tulsa OK 74136-1907
Phone: (918) 494-8500
Fax: (918) 307-5578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N2495 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | AA22180774308 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 30464 | Oklahoma |
Profile Details
| NPI number | 1790993483 |
|---|---|
| LBN Legal business name | Fazel, Poorya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Jun 13th, 2019 - about 6 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 | 1790993483 | NPPES |
| Texas | MEDICAID | 207296902 |
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