Jia, Gregory Y

Jia, Gregory Y is an individual health care provider with primary practice located at 4200 S Douglas Ave Ste 200 , Oklahoma City OK 73109-3215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Jia, Gregory Y can be contacted via phone (405) 636-7499.

Contact Information

Primary practice address
4200 S Douglas Ave Ste 200 Oklahoma City OK 73109-3215
Fax: (405) 636-7809
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 19082 Oklahoma

Profile Details

NPI number 1922084128
LBN Legal business name Jia, Gregory Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jan 11th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922084128 NPPES
Oklahoma MEDICAID 100138540A

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