Individual
ROBERT C SONNENSCHEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 S UTICA AVE, SUITE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Mailing address
9228 S MINGO RD, SUITE 200, TULSA, OK 74133-5718
(918) 592-0999
(918) 878-2499
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
13387
OK
207RC0000X
Cardiovascular Disease Physician
Primary
13387
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060007653
MEDICARE RAILROAD
OK
05
—
100020610A
—
OK
01
—
OK400799
MEDICARE PTAN
OK
01
—
P00611420
MEDICARE RAILROAD
OK
Enumeration date
01/26/2006
Last updated
09/04/2014
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