Mammana, Robert Benedict
Mammana, Robert Benedict is an individual health care provider with primary practice located at 6151 S Yale Ave Ste 304, Tulsa OK 74136-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mammana, Robert Benedict can be contacted via phone (918) 502-3600.Contact Information
Primary practice address
6151 S Yale Ave Ste 304
Tulsa OK 74136-1907
Phone: (918) 502-3600
Fax: (918) 502-3610
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 20034 | Oklahoma |
Profile Details
NPI number | 1720087570 |
---|---|
LBN Legal business name | Mammana, Robert Benedict |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2005 |
Last updated | Nov 21st, 2011 - about 14 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 | 1720087570 | NPPES |
Oklahoma | MEDICAID | 100005220A |
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