Organization
DIANA TAMBOLI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA TAMBOLI MD (OWNER/AUTHORIZED OFFICIAL)
(615) 300-3857
Entity
Organization
Contact information
Practice address
7316 N WESTERN AVE, OKLAHOMA CITY, OK 73116-7120
(405) 408-4064
(405) 936-0561
Mailing address
7316 N WESTERN AVE, OKLAHOMA CITY, OK 73116-7120
(405) 408-4064
(405) 936-0561
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200653870A
—
OK
Enumeration date
03/06/2020
Last updated
07/08/2025
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