Individual
TRISTANDIP KOONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 NE 10TH ST, OKLAHOMA CITY, OK 73104-5420
(405) 271-2230
Mailing address
900 NE 10TH ST, OKLAHOMA CITY, OK 73104-5420
(405) 271-2230
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
08/15/2016
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