National Provider Identifier Database

UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA LLC
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA, LLC
5401 N. PORTLAND AVE. SUITE 440
OKLAHOMA CITY, OK73112
Phone: 405-943-1137
Fax: 405-947-0731
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA, LLC

NPI Number 1356612063
Legal business name
LBN
UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA, LLC
Authorized official EN SAMARA - (MANAGING PARTNER)
Entity Organization
Organization subpart No
Enumeration date 01/26/2012
Last updated 04/22/2026 - About 1 months ago
Sole proprietor1 Not specified
Identifiers
  • OK Medicaid: 200438780A

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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