Healthcare Provider Details

I. General information

NPI: 1225514896
Provider Name (Legal Business Name): ROBERT ABED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2018
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 S UTICA AVE STE 300
TULSA OK
74104-4243
US

IV. Provider business mailing address

1265 S UTICA AVE STE 300
TULSA OK
74104-4243
US

V. Phone/Fax

Practice location:
  • Phone: 918-592-0999
  • Fax:
Mailing address:
  • Phone: 918-592-0999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number47359
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: