Individual
DR. PRIYA SAMANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 NW 11TH ST, OKLAHOMA CITY, OK 73103-3913
(405) 272-0476
(405) 272-0730
Mailing address
411 NW 11TH ST, OKLAHOMA CITY, OK 73103-3913
(405) 272-0476
(405) 272-0730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18731
OK
208000000X
Pediatrics Physician
18731
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231030A
—
OK
01
—
14296
BNDD
OK
01
—
18731
MEDICAL LICENSE
OK
Enumeration date
12/01/2005
Last updated
03/07/2023
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