Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 2011019220 | MO |
Y | 207T00000X | Neurosurgeon | 35243 | OK |
NPI | 1093002891 |
---|---|
Provider Name | Dr. Zohny Samir Zohny |
First Address | Tulsa, OK 74136-3331 |
Second Address | Tulsa, OK 74136-8352 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2011 |
Last Update Date | 06/03/2020 |