NPI Code Details Logo

NPI 1609338417

NPI 1609338417 : PANAYIOTIS TJIONAS MD : TULSA, OK

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1609338417
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    PANAYIOTIS TJIONAS MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/01/2019
-----------------------------------------------------
    Last Update Date     |    10/13/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6161 S YALE AVE 
-----------------------------------------------------
    City                 |    TULSA
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    74136-1902
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    918-494-1418
-----------------------------------------------------
    Fax                  |    918-494-1491
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6431 FANNIN STREET MSB 7.154 DEPARTMENT NEUROSURGERY/NEUROCRITICAL CARE
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77030-0001
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    201-982-1152
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084A2900X
-----------------------------------------------------
    Taxonomy Name        |    Neurocritical Care Physician
-----------------------------------------------------
    License Number       |    46326
-----------------------------------------------------
    License Number State |    OK
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.