Doctor Name: | DR. GEORGE SHAKER COHLMIA |
NPI Number: | 1124061551 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 15023 |
Business Practice Address: | 1373 E Boone St Suite 3400 Tahlequah, OK - 744643364 |
Business Phone Number: | 9184569500 |
Business Fax Number: | 9184569569 |
Mailing Address: | 2448 E 81st St, Suite 5100 TULSA |
State: | OK |
Postal Code: | 741374248 |
Phone Number: | 9185842500 |
Fax Number: | 9185844634 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 03/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 15023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |