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
Fax: (918) 743-8552
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982867511 NPPES
Oklahoma MEDICAID 200537380A

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