Individual
NEEL MUKUL KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6827 S MEMORIAL DR, TULSA, OK 74133-2126
(918) 252-2020
(918) 307-1983
Mailing address
6140 S MEMORIAL DR, TULSA, OK 74133-1933
(918) 252-2020
(918) 307-1983
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
274993
NY
207W00000X
Ophthalmology Physician
ME124162
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
31990
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015055800
—
FL
05
—
03917484
—
NY
01
—
1509V
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/27/2010
Last updated
05/26/2020
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