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Contact Information

FERNANDO MOTTA, MD
4444 E 41ST ST
TULSA, OK74135-2527
 Phone: 918-619-4400
 Fax: 918-619-4960
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for FERNANDO MOTTA · (Male)

NPI Number 1972166437
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2019
Last updated 03/26/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 40505
  • OK Medicaid 201188040A
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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