Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 23539 | OK |
N | 111NI0900X | Internist | 23539 | OK |
N | 207RG0300X | Geriatric Medicine | 23539 | OK |
NPI | 1104893346 |
---|---|
Provider Name | Banu Sezginsoy |
First Address | Oklahoma City, OK 73117-1039 |
Second Address | Oklahoma City, OK 73104-5417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 08/07/2007 |