Madjid, Tamara L

Madjid, Tamara L is an individual health care provider with primary practice located at 10505 E 91St St Suite 203, Tulsa OK 74133-5801. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Madjid, Tamara L can be contacted via phone (918) 382-5399.

Contact Information

Primary practice address
10505 E 91St St Suite 203 Tulsa OK 74133-5801
Phone: (918) 382-5399
Fax: (918) 382-5704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 0078685 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 0078685 Oklahoma

Profile Details

NPI number 1497908032
LBN Legal business name Madjid, Tamara L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Dec 18th, 2012 - about 12 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 1497908032 NPPES
Oklahoma Other 78685 STATE LICENSE
Oklahoma MEDICAID 200218440A STATE LICENSE

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