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
Fax: (918) 502-3610
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720087570 NPPES
Oklahoma MEDICAID 100005220A

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