Individual
DR. REZA JOHN AZADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6465 S YALE AVE STE 804, TULSA, OK 74136-7810
(918) 502-3550
(918) 502-3555
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8001
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4270
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200181090A
—
OK
Enumeration date
05/31/2007
Last updated
04/01/2020
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