Individual
SANAZ EBRAHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 619-4334
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 619-4334
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022045274
MO
390200000X
Student in an Organized Health Care Education/Training Program
34903
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
09/18/2023
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