Tjauw, Iwan T
Tjauw, Iwan T is an individual health care provider with primary practice located at 3433 Nw 54Th St Suite C-40, Oklahoma City OK 73112-4455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Tjauw, Iwan T can be contacted via phone (405) 945-4741.Contact Information
Primary practice address
3433 Nw 54Th St Suite C-40
Oklahoma City OK 73112-4455
Phone: (405) 945-4741
Fax: (888) 972-5320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 24754 | Oklahoma |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 24754 | Oklahoma |
Profile Details
| NPI number | 1730154170 |
|---|---|
| LBN Legal business name | Tjauw, Iwan T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Jul 15th, 2021 - about 3 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 | 1730154170 | NPPES |
| Oklahoma | Other | P00285866 | RAILROAD MEDICARE/MPI |
| Oklahoma | Other | P00283018 | RAILROAD MEDICARE/MPI |
| Oklahoma | Other | P00302394 | RAILROAD MEDICARE/MPI |
| Oklahoma | MEDICAID | 100738500A | RAILROAD MEDICARE/MPI |
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