Individual
TAYYABA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
(405) 271-4219
Mailing address
900 E MAIN ST, NORMAN, OK 73071-5305
(405) 573-6602
(405) 573-6684
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
30640
OK
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
30640
OK
Other
Enumeration date
07/03/2014
Last updated
05/06/2020
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