CORDELL L PRIVAT, MD TULSA, OK

Contact Information

CORDELL L PRIVAT, MD

5801 E 41ST ST STE 900
TULSA, OK 74135-5631

Phone: 918-747-4975
Fax: 918-743-8552
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for CORDELL L PRIVAT · (Male)

NPI #	`1982867511`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	07/03/2008
Last updated	11/21/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	OK License # 30549 OK Medicaid 200537380A
Hospital affiliation(s)	ST JOHN MEDICAL CENTER INC - (Acute Care) 1923 SOUTH UTICA AVENUE TULSA, OK 74104

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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