Healthcare Provider Details

I. General information

NPI: 1306890074
Provider Name (Legal Business Name): SAADIA CHOHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 12/16/2020
Certification Date: 12/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 NW 56TH ST
OKLAHOMA CITY OK
73112-4550
US

IV. Provider business mailing address

3525 NW 56TH ST
OKLAHOMA CITY OK
73112-4550
US

V. Phone/Fax

Practice location:
  • Phone: 405-942-9200
  • Fax: 405-942-9204
Mailing address:
  • Phone: 405-942-9200
  • Fax: 405-942-9204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberOK18115
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: