Individual
DR. ANDRE LUIZ PITANGA BASTOS DE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
800 NE 10TH ST STE B, OKLAHOMA CITY, OK 73104-5418
(405) 271-4022
(405) 271-3020
Mailing address
515 CENTRAL PARK DR STE 5009, OKLAHOMA CITY, OK 73105-1724
(405) 764-8066
(405) 271-1001
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
46042
OK
207RH0003X
Hematology & Oncology Physician
MD16354
RI
Other
Enumeration date
07/10/2012
Last updated
12/30/2025
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