Individual
MINA RIZWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
Mailing address
4737 S HUDSON PL, TULSA, OK 74135-6923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27710
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200330720A
—
OK
Enumeration date
04/19/2010
Last updated
06/23/2021
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