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Individual

SUJAN JOSHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2617 S ELM PL, BROKEN ARROW, OK 74012-7850
(918) 455-4541
(918) 449-9743
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3825
(918) 579-1262

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26280
OK
207Q00000X
Family Medicine Physician
2628026
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200039950A
OK
05
200277830A
OK
Enumeration date
07/01/2009
Last updated
03/24/2020
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