Individual
DR. SHERWIN ANDREW TAVAKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1000 N. LINCOLN BLVD., SUITE 4000, OKLAHOMA CITY, OK 73104
(405) 271-4912
Mailing address
1000 N LINCOLN BLVD STE 400, OKLAHOMA CITY, OK 73104-3252
(405) 271-4912
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
38162
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2021
Last updated
06/18/2021
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