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Contact Information

ROBERT B MAMMANA, MD
6151 S YALE AVE
STE 304
TULSA, OK74136-1907
 Phone: 918-502-3600
 Fax: 918-502-3610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROBERT B MAMMANA · (Male)

NPI Number 1720087570
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2005
Last updated 11/21/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 20034
  • OK Medicaid 100005220A
Hospital affiliation(s) Not Available
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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