Healthcare Provider Details

I. General information

NPI: 1245851427
Provider Name (Legal Business Name): ADRIANA SHARP DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2020
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 NW 9TH ST STE 3206
OKLAHOMA CITY OK
73102-1049
US

IV. Provider business mailing address

777 NW 63RD ST STE 452
OKLAHOMA CITY OK
73116-7601
US

V. Phone/Fax

Practice location:
  • Phone: 405-772-8605
  • Fax:
Mailing address:
  • Phone: 405-231-3857
  • Fax: 405-272-7455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number9025
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: