Organization
TULSA CARDIOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAWAD TRAD DO (OWNER)
(405) 880-5600
Entity
Organization
Contact information
Practice address
2100 S UTICA AVE STE 202, TULSA, OK 74114-1437
(918) 932-3836
(918) 203-0027
Mailing address
2100 S UTICA AVE STE 202, TULSA, OK 74114-1437
(918) 932-3836
(918) 203-0027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201302020A
—
OK
Enumeration date
06/24/2024
Last updated
11/22/2024
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