TAMARA L MADJID APRN NPI 1497908032

NPI Information

NPI: 1497908032
Provider Name: TAMARA L MADJID, APRN
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
10505 E 91ST ST
SUITE 203
TULSA, OK
ZIP 74133
Phone: (918) 382-5399
Get Directions

Tamara L Madjid, APRN is an obstetrics and gynecology nurse practitioner in Tulsa, OK with 16 years of experience. Tamara L Madjid, APRN NPI is 1497908032. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

10505 E 91ST ST
SUITE 203
TULSA, OK
ZIP 74133-801
Phone: (918) 382-5399
Fax: (918) 382-5704

The NPI 1497908032 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 12/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	0078685	OKLAHOMA	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	0078685	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	78685	OTHER	OKLAHOMA	STATE LICENSE
2	200218440A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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