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NPI Code Detail

MEDICARE: RYAN ALEXANDER ZENGOU M.D.

MEDICARE:   RYAN ALEXANDER ZENGOU  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician42346OK
2207T00000XNeurological Surgery Physician036142030IL

General Provider Information

NPI Number : 1235395591
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN ALEXANDER ZENGOU M.D.
Provider Business Mailing Address
First Line : 6600 S YALE AVE STE 1400
Second Line :
City : TULSA
State : OK
Zip : 74136-3331
Country : US
Telephone Number : 888-247-0125
Fax Number : 918-502-8210
Provider Business Practice Location Address
First Line : 6475 S YALE AVE STE 308
Second Line :
City : TULSA
State : OK
Zip : 74136-7802
Country : US
Telephone Number : 918-499-4000
Fax Number : 918-499-4001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2008
Last Update Date : 04/15/2024

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Directions to “ RYAN ALEXANDER ZENGOU M.D.” Practice Location

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