Individual
DR. NILESH R VASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 STANTON L YOUNG BLVD, WP 1290, OKLAHOMA CITY, OK 73104-5036
(405) 271-8001
(405) 271-3248
Mailing address
PO BOX 26901, WP 1290, OKLAHOMA CITY, OK 73126-0901
(405) 271-8001
(405) 271-3248
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
042319
CT
207Y00000X
Otolaryngology Physician
Primary
23030
OK
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
23030
OK
207YX0901X
Otology & Neurotology Physician
23030
OK
Other
Enumeration date
07/17/2006
Last updated
03/14/2011
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