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Individual

DIANA TAMBOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9821 S MAY AVE # C, OKLAHOMA CITY, OK 73159-7042
(405) 708-7876
Mailing address
7316 N WESTERN AVE, OKLAHOMA CITY, OK 73116-7120
(405) 708-7876

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
125061038
IL
207W00000X
Ophthalmology Physician
Q3979
TX
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
32188
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200653870A
OK
Enumeration date
06/09/2011
Last updated
12/05/2024
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