Healthcare Provider Details

I. General information

NPI: 1144497223
Provider Name (Legal Business Name): PAUL SILVERSTEIN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 05/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 NW 63RD ST
OKLAHOMA CITY OK
73116
US

IV. Provider business mailing address

3301 NW 63RD ST
OKLAHOMA CITY OK
73116
US

V. Phone/Fax

Practice location:
  • Phone: 405-842-9732
  • Fax: 405-842-9771
Mailing address:
  • Phone: 405-842-9732
  • Fax: 405-842-9771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number10223
License Number StateOK

VIII. Authorized Official

Name: DR. PAUL SILVERSTEIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 405-842-9732