Individual
DR. CHRISTOS EUGENE VASSILIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4500 S GARNETT RD, STE 919, TULSA, OK 74146-5229
(918) 728-6194
(918) 664-2521
Mailing address
4500 S GARNETT RD, STE 300, TULSA, OK 74146-5229
(918) 728-6194
(918) 664-2521
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4441
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200225690A
—
OK
01
—
200225690B
OSU MEDICAID
OK
Enumeration date
08/13/2008
Last updated
08/16/2010
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