Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 042319 | CT |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 23030 | OK |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 23030 | OK |
NPI | 1578580205 |
---|---|
Provider Name | Dr. Nilesh R Vasan |
First Address | Oklahoma City, OK 73126-0901 |
Second Address | Oklahoma City, OK 73104-5036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 14/03/2011 |