Individual
LIPHARD O D'SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4157 S HARVARD AVE, SUITE 130, TULSA, OK 74135-2631
(918) 296-0596
(918) 296-0596
Mailing address
PO BOX 701353, TULSA, OK 74170-1353
(918) 296-0596
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
15158
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0599597
—
IA
05
—
100008970A
—
OK
05
—
100008970B
—
OK
05
—
100379610B
—
KS
Enumeration date
06/16/2006
Last updated
11/02/2014
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