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Individual

MRS. SATWANT TANDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
24800 S 4420 ROAD, VINITA, OK 74301
(918) 256-7841
(918) 256-2952
Mailing address
PO BOX 69, VINITA, OK 74301-0069
(918) 256-7841
(918) 256-2952

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19207
OK
2084P0800X
Psychiatry Physician
2003025350
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100693700B
OK
05
200258550A
KS
05
207399809
MO
Enumeration date
12/19/2006
Last updated
10/17/2011
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