Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 357 | OK |
NPI | 1013449214 |
---|---|
Provider Name | Dr. Abdurrahman Kabani |
First Address | Tulsa, OK 74136-3333 |
Second Address | Tulsa, OK 74136-1930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2017 |
Last Update Date | 14/10/2020 |