Individual
DR. ANNA WANAHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2626 E 35TH ST, TULSA, OK 74105
(918) 978-0543
Mailing address
2626 E 35TH ST, TULSA, OK 74105-2823
(918) 978-0543
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
R1068
KY
2084V0102X
Vascular Neurology Physician
Primary
25436
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200108970A
—
OK
Enumeration date
01/31/2007
Last updated
01/28/2019
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