Northeastern Retina, P.c.

NPI #1043233133 in Tulsa, Oklahoma

Provider Information

NPI Number: 1043233133
Entity Type: Organization
Organization Name: Northeastern Retina, P.c.
Primary Specialty: Ophthalmology
Enumeration Date: Jul 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4415 S HARVARD AVE
Address 2: STE 202
City: Tulsa
State: Oklahoma
ZIP Code: 74135-2620
Phone: (918) 749-7667

Authorized Official

Name: SAMEENA KHAN, M.D.
Title: OWNER
Phone: (918) 749-7667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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