DR. REZA JOHN AZADI (NPI# 1932300472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932300472 |
| Entity Type | Individual |
| Full Name | DR. REZA JOHN AZADI |
| Credential | D.O. |
| Practice Address |
6465 S Yale Ave Ste 804 Tulsa OK 74136-7810 |
| Mailing Address |
6600 S Yale Ave Ste 1400 Tulsa OK 74136-3331 |
| Practice Telephone | 9185023550 |
| Practice Fax Number | 9185023555 |
| Mailing Telephone | 8882470125 |
| Mailing Fax Number | 9185028001 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
4270 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200181090A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2605 W Main St, Jenks, OK 74037 | 9182094550 | 9182987866 |
| 6465 S Yale Ave Ste 507, Tulsa, OK 741367807 | 9184812760 | 9184812775 |
| Street Address |
6465 S YALE AVE STE 804 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-7810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417096629 | Muhammad Afzal | Internal Medicine | 6465 S Yale Ave Ste 804, Tulsa, OK 74136-7810 | 2007-02-05 |
| 1376938167 | Kevin Fu | Internal Medicine | 6465 S Yale Ave Ste 804, Tulsa, OK 74136-7810 | 2015-03-30 |
| 1427347947 | Narottam Regmi | Internal Medicine | 6465 S Yale Ave Ste 804, Tulsa, OK 74136-7810 | 2011-04-05 |
| 1326201260 | Diptesh Ramnarain Gupta | Internal Medicine | 6465 S Yale Ave Ste 804, Tulsa, OK 74136-7810 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1972740389 | Oklahoma Hypertension and Kidney Center, Plcc | Internal Medicine | 10203 S Canton Ave, Tulsa, OK 74137-6059 | 2009-01-08 |
| 1861676736 | Salah Uddin | Internal Medicine | 1923 E 21st St Ste 200, Tulsa, OK 74114-1447 | 2007-12-27 |
| 1417096629 | Muhammad Afzal | Internal Medicine | 6465 S Yale Ave Ste 804, Tulsa, OK 74136-7810 | 2007-02-05 |
| 1487735593 | Osteopathic Physicians of Tulsa, Inc. | Internal Medicine | 802 S Jackson Ave Ste 301, Tulsa, OK 74127-9057 | 2006-10-17 |
| 1568550663 | Christine Wilson | Internal Medicine | Dept 2761, Tulsa, OK 74182-0001 | 2006-10-11 |
| 1396760112 | Sohail Kareem | Internal Medicine | 6465 S Yale Ave Ste 401, Tulsa, OK 74136-7806 | 2006-07-13 |
| 1649203142 | Thomas Richard Medlock | Internal Medicine | 2000 S Wheeling Ave Ste 510, Tulsa, OK 74104-5649 | 2006-07-08 |
| 1669089280 | Tessa Lynne Mcclanahan | Internal Medicine | 2000 S Wheeling Ave Ste 510, Tulsa, OK 74104-5642 | 2020-09-28 |
| 1376938167 | Kevin Fu | Internal Medicine | 6465 S Yale Ave Ste 804, Tulsa, OK 74136-7810 | 2015-03-30 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.