Organization Name: | SUNITA KUMARI MALL, M.D., P.L.L.C. |
NPI Number: | 1992011308 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORI DORST (OFFICE MANAGER) |
Mailing Address: | 3280 Marshall Ave Norman |
State: | OK US |
Postal Code: | 730728022 |
Phone Number: | 4055795858 |
Fax Number: | 4052921787 |
NPI Enumeration Date: | 08/23/2010 |
NPI Last Update Date: | 08/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25281 |
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. |