MEDICARE: SMARANDA A GALIS MD

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
1	2084N0400X	Neurology Physician	22154	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386611473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SMARANDA A GALIS MD

Provider Business Mailing Address
First Line	:	6120 S YALE AVE STE 1210
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-4234
Country	:	US
Telephone Number	:	918-888-5211
Fax Number	:	918-888-5270

Provider Business Practice Location Address
First Line	:	6120 S YALE AVE STE 1210
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-4234
Country	:	US
Telephone Number	:	918-888-5211
Fax Number	:	918-888-5270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	03/29/2024

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