Individual
MICHAEL OPONG-KUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1145 S UTICA AVE, SUITE 460, TULSA, OK 74104-4000
(918) 579-5749
(918) 579-5762
Mailing address
1145 S UTICA AVE, SUITE 460, TULSA, OK 74104-4000
(918) 579-5749
(918) 579-5762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3871
OK
207Q00000X
Family Medicine Physician
L7833
TX
208M00000X
Hospitalist Physician
Primary
3871
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016920A
—
OK
05
—
100016920C
—
OK
05
—
100016920D
—
OK
Enumeration date
09/08/2005
Last updated
06/21/2019
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