Organization
GIO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDINI SHARMA M.D. (CEO/PRESIDENT)
(918) 899-8289
Entity
Organization
Contact information
Practice address
2025 E 71ST ST, TULSA, OK 74136-5416
(918) 899-8289
(918) 742-2730
Mailing address
3701 S HARVARD AVE STE A, PMB 389, TULSA, OK 74135-2282
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
24955
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200499600A
—
OK
Enumeration date
06/22/2013
Last updated
09/23/2024
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