# UROLOGIC SPECIALISTS OF OKLAHOMA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urologic Specialists Owasso
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619789310
- **Authorized official:** SHAUN GOBIND SINGH GREWAL (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (918) 749-8765

## Contact information

- **Practice address:** 12455 E 100TH ST N STE 280, OWASSO, OK 74055-4675
- **Practice address phone:** (918) 505-2634
- **Practice address fax:** (918) 248-0134
- **Mailing address:** 10901 E 48TH ST, TULSA, OK 74146-5830
- **Mailing address phone:** (918) 749-8765
- **Mailing address fax:** (918) 392-2155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2025
- **Last updated:** 10/06/2025