Healthcare Provider Details
I. General information
NPI: 1427000587
Provider Name (Legal Business Name): CHELSEA GALUTIA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/17/2006
Last Update Date: 01/26/2023
Certification Date: 01/20/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11610 N 137TH E AVE
COLLINSVILLE OK
74021
US
IV. Provider business mailing address
6600 S YALE AVE STE 1400
TULSA OK
74136-3331
US
V. Phone/Fax
- Phone: 918-272-2247
- Fax: 918-272-6185
- Phone: 888-247-0125
- Fax: 918-502-8210
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 4187 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: