Divina Roman is a Adolescent Medicine in Tulsa, Oklahoma. Divina Roman practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Divina Roman is 1093783276. The last update date is 2007-10-29.
Divina Roman's current location address is 1919 S Wheeling Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9187487600 and fax number 9182933109. The mailing address for Divina Roman is 1919 S Wheeling Ave, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Divina Roman |
|---|---|
| Address | 1919 S Wheeling Ave, Tulsa, Oklahoma |
| Phone Number | 9187487600 |
| Fax Number | 9182933109 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093783276 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2007-10-29 |
Provider Mailing Address Detail
| Address | 1919 S Wheeling Ave |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741045638 |
| Phone Number | 9187487600 |
| Fax Number | 9182933109 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Ra0000X |
| Licence No | 18436 |
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Definition: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Post Comment/ Review Below
What is the Divina Roman's unique identification number?
The Divina Roman has been assigned the NPI (National Provider Identifier) Number 1093783276 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Divina Roman is geographically located?
The Divina Roman is physically situated at the following location: 1919 S Wheeling Ave, Tulsa, OK, 741045638.
What is Divina Roman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Divina Roman's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Ra0000X.
On what date did the Divina Roman receive the assignment of its 1093783276 from the Centers for Medicare & Medicaid Services?
The Divina Roman was issued its 1093783276 by the Centers for Medicare & Medicaid Services on 2006-03-14.
As of what date was the information regarding Divina Roman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Divina Roman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-29.