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NPI Code Detail

MEDICARE: MR. ANKIT K CHOTHANI M.B.;B.S.

MEDICARE: MR. ANKIT K CHOTHANI M.B.;B.S.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RI0011XInterventional Cardiology Physician34758OK

General Provider Information

NPI Number : 1891052072
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANKIT K CHOTHANI M.B.;B.S.
Provider Business Mailing Address
First Line : 9228 S MINGO RD
Second Line :
City : TULSA
State : OK
Zip : 74133-5718
Country : US
Telephone Number : 918-592-0999
Fax Number : 918-592-1021
Provider Business Practice Location Address
First Line : 9228 S MINGO RD STE 200
Second Line :
City : TULSA
State : OK
Zip : 74133-5722
Country : US
Telephone Number : 918-592-0999
Fax Number : 918-592-1021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2012
Last Update Date : 03/07/2022

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