Privat, Cordell Lee
Privat, Cordell Lee is an individual health care provider with primary practice located at 5801 E 41St St Ste 900 , Tulsa OK 74135-5631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Privat, Cordell Lee can be contacted via phone (918) 747-4975.Contact Information
Primary practice address
5801 E 41St St Ste 900
Tulsa OK 74135-5631
Phone: (918) 747-4975
Fax: (918) 743-8552
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 30549 | Oklahoma |
Profile Details
NPI number | 1982867511 |
---|---|
LBN Legal business name | Privat, Cordell Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2008 |
Last updated | Nov 21st, 2023 - about last year |
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 | 1982867511 | NPPES |
Oklahoma | MEDICAID | 200537380A |
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