Individual
SUNIA KHOSRAVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-4700
Mailing address
2264 NW 54TH ST, OKLAHOMA CITY, OK 73112-7715
(405) 919-4697
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
205021
OK
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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