Healthcare Provider Details

I. General information

NPI: 1861985731
Provider Name (Legal Business Name): ERIN KAY TSAMBIKOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2018
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4509 INTEGRIS PKWY STE 300
EDMOND OK
73034-8696
US

IV. Provider business mailing address

3001 QUAIL SPRINGS PKWY FL 5
OKLAHOMA CITY OK
73134-2640
US

V. Phone/Fax

Practice location:
  • Phone: 405-657-3704
  • Fax: 405-657-3892
Mailing address:
  • Phone: 405-657-3704
  • Fax: 405-657-3892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number33845
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: