Healthcare Provider Details

I. General information

NPI: 1548383003
Provider Name (Legal Business Name): TIARI AVAKIAN HARRIS MD MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1923 S UTICA AVE EHS - 3RD FLOOR KRAVIS BUILDING
TULSA OK
74104-6520
US

IV. Provider business mailing address

1923 S UTICA AVE EHS - 3RD FLOOR KRAVIS BUILDING
TULSA OK
74104-6520
US

V. Phone/Fax

Practice location:
  • Phone: 918-744-2979
  • Fax: 918-744-3018
Mailing address:
  • Phone: 918-744-2979
  • Fax: 918-744-3018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number15651
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: