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NPI Code Detail

MEDICARE: SANTOSH KALAN

MEDICARE: SANTOSH KALAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician8039OK
2390200000XStudent in an Organized Health Care Education/Training Program
3207Q00000XFamily Medicine Physician02008327AIN

General Provider Information

NPI Number : 1154062560
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANTOSH KALAN
Provider Business Mailing Address
First Line : 14002 E 21ST ST STE 1130
Second Line :
City : TULSA
State : OK
Zip : 74134-1408
Country : US
Telephone Number : 918-439-1500
Fax Number :
Provider Business Practice Location Address
First Line : 14002 E 21ST ST STE 1130
Second Line :
City : TULSA
State : OK
Zip : 74134-1408
Country : US
Telephone Number : 918-439-1500
Fax Number : 918-439-1199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2022
Last Update Date : 05/15/2025

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Directions to “ SANTOSH KALAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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