Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 275237 | NY |
N | 111NI0900X | Internist | 275237 | NY |
N | 208000000X | Pediatrician | 275237 | NY |
Y | 2080P0208X | Pediatric Infectious Diseases | 275237 | NY |
NPI | 1083930960 |
---|---|
Provider Name | Miss Donna Lynn Tyungu |
First Address | Oklahoma City, OK 73104-4637 |
Second Address | Oklahoma City, OK 73104-4637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2010 |
Last Update Date | 22/08/2017 |