Opong-Kusi, Michael

Opong-Kusi, Michael is an individual health care provider with primary practice located at 1145 S Utica Ave Suite 460, Tulsa OK 74104-4000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Opong-Kusi, Michael can be contacted via phone (918) 579-5749.

Contact Information

Primary practice address
1145 S Utica Ave Suite 460 Tulsa OK 74104-4000
Phone: (918) 579-5749
Fax: (918) 579-5762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L7833 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3871 Oklahoma
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 3871 Oklahoma

Profile Details

NPI number 1336133024
LBN Legal business name Opong-Kusi, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jun 21st, 2019 - about 5 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 1336133024 NPPES
Oklahoma MEDICAID 100016920A
Oklahoma MEDICAID 100016920C
Oklahoma MEDICAID 100016920D

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