National Provider Identifier Database

DIEGO S HUMPHREY, MD – NPI #1073525515
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

DIEGO S HUMPHREY, MD
1500 E. DOWNING #
TAHLEQUAH, OK74464
Phone: 918-207-0882
Fax: 918-207-0335
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for DIEGO S HUMPHREY

NPI Number 1073525515
Credentials MD
Entity Individual
Enumeration date 08/13/2006
Last updated 04/08/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • OK License #: 19979
  • OK Medicaid: 100037340A
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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