Healthcare Provider Details

I. General information

NPI: 1689661878
Provider Name (Legal Business Name): PETER ARAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 S YALE AVE SUITE 1200
TULSA OK
74136-8378
US

IV. Provider business mailing address

6565 S YALE AVE SUITE 1200
TULSA OK
74136-8378
US

V. Phone/Fax

Practice location:
  • Phone: 918-494-9433
  • Fax: 918-494-9499
Mailing address:
  • Phone: 918-494-9433
  • Fax: 918-494-9499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number17456
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: