Individual
DR. GHASSAN TAWIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 493-6000
(918) 579-1218
Mailing address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 493-6000
(918) 579-1218
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
22986
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200068600A
—
OK
Enumeration date
03/16/2007
Last updated
05/06/2014
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