Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 15378 | OK |
N | 111NI0900X | Internist | 15378 | OK |
Y | 207RC0000X | Internist - Cardiovascular Disease | 15376 | OK |
NPI | 1003816877 |
---|---|
Provider Name | Robert Dean Okada |
First Address | Tulsa, OK 74136-3310 |
Second Address | Tulsa, OK 74136-1907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 29/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100208780B | (05) | OK |
A54275 | (02) |