Individual
TANIA GHORBAN AZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
940 NE 13TH ST, OKLAHOMA CITY, OK 73104-5008
(405) 271-5125
Mailing address
940 NE 13TH ST # 3210, OKLAHOMA CITY, OK 73104-5008
(405) 271-5125
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
43282
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2023
Last updated
05/31/2024
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