SUPRIYA KOYA


Address: 1919 S Wheeling Ave, Ste 204, Tulsa, OK 74104-5638
Phone: 9184037200

SUPRIYA KOYA (NPI# 1770790289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770790289
Entity Type Individual
Full Name SUPRIYA KOYA
Credential MD
Practice Address 1919 S Wheeling Ave
Ste 204
Tulsa
OK 74104-5638
Mailing Address 1245 S Utica Ave
Fl 2
Tulsa
OK 74104-4214
Practice Telephone 9184037200
Practice Fax Number 9182933110
Mailing Telephone 9185793850
Mailing Fax Number 9185793859
Enumeration Date 2007-05-16
Last Update Date 2016-01-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
27704 OK Allopathic & Osteopathic Physicians

Office Location

Street Address 1919 S WHEELING AVE
STE 204
City TULSA
State OK
Zip Code 74104-5638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942293097 Michael S Charles Surgery 1919 S Wheeling Ave, Ste 606, Tulsa, OK 74104-5635 2005-08-24
1710540737 Lacie Danielle Whinery Student in an Organized Health Care Education/Training Program 1919 S Wheeling Ave, Tulsa, OK 74104-5638 2019-04-16
1699134890 Allyson Michelle Campbell Physician Assistant 1919 S Wheeling Ave, Suite 404, Tulsa, OK 74104-5638 2016-02-16
1205200789 Aerial Chanel Anthony Physician Assistant 1919 S Wheeling Ave, Suite 200, Tulsa, OK 74104-5638 2015-11-19
1285018713 Ob Gyn Specialists of Tulsa Pllc Obstetrics & Gynecology 1919 S Wheeling Ave, Ste. 700, Tulsa, OK 74104-5638 2015-07-14
1083025159 Osu Center for Health Sciences Clinic/Center 1919 S Wheeling Ave, Suite 302, Tulsa, OK 74104-5638 2014-05-12
1548688757 Robert Wittrock Pediatrics 1919 S Wheeling Ave, Ste 304, Tulsa, OK 74104-5632 2014-04-03
1235477613 Alexandros Mallios Surgery 1919 S Wheeling Ave, Suite 600, Tulsa, OK 74104-5638 2013-01-20
1841537859 Jenny Marie Birks Physician Assistant 1919 S Wheeling Ave, Suite 402, Tulsa, OK 74104-5638 2013-01-10
1578836201 Gajal Kumar Surgery 1919 S Wheeling Ave, Ste 606, Tulsa, OK 74104-5638 2012-02-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982253811 Ultimate Health and Pain Management Pain Medicine 1844 East 15th Street, Tulsa, OK 74104 2019-09-04
1225691223 David Murray Student in an Organized Health Care Education/Training Program 2100 S Wheeling Ave, Tulsa, OK 74104 2019-04-16
1083115828 Susan Fortner Counselor 1328 S. Delaware Pl, Tulsa, OK 74104 2018-02-27
1033636915 Mark Brizendine Dietitian, Registered Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 2017-08-23
1295259067 Demi Reyd Cook Nurse Practitioner 1717 A South Utica, Tulsa, OK 74104 2017-08-02
1851827059 Oklahoma Cvs Pharmacy Durable Medical Equipment & Medical Supplies 1701 E 15th Street, Tulsa, OK 74104 2017-05-08
1801334982 Jamie Lynne Miller Internal Medicine 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 2017-02-08
1578913430 Donna Durant-macon Registered Nurse 315 South Utica, Tulsa, OK 74104 2016-06-21
1669833851 Mbc Dental Dentist 401 S. Utica Ave, #a, Tulsa, OK 74104 2016-03-15
1518332170 Neuro Dynamics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 22 S Lewis, Tulsa, OK 74104 2015-12-08
Find all providers in zip 74104

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730403882 Oklahoma Oncology and Hematology, P.C. Internal Medicine 1810 E 15th St, Tulsa, OK 74104-4611 2010-03-18
1093782245 John L. Eckenrode Internal Medicine 11212 E 48th St, Tulsa, OK 74146 2006-03-07
1255334496 Barry Clinton Mirtsching Internal Medicine 6161 S Yale Ave, Tulsa, OK 74136-1902 2005-05-23
1376969378 Oncology Physicians LLC Internal Medicine 7107 S Yale Ave, No,198, Tulsa, OK 74136-6308 2014-03-14
1568721033 Jessica Ann Kreitzberg Internal Medicine 11212 E 48th St, Tulsa, OK 74146-5824 2012-05-03
1336406685 Chelsea Nicole Thomas Internal Medicine 11212 E 48th St, Tulsa, OK 74146 2012-04-11
1669745667 Amara Gayathri Nandikolla Internal Medicine 1245 S Utica Ave, Ste 100, Tulsa, OK 74104 2012-02-22
1083920425 Nikhil Mukhi Internal Medicine 11212 E 48th St, Tulsa, OK 74146-5824 2010-08-24
1235398066 Laura K Brett Internal Medicine 1809 E 13th St, Suite 402, Tulsa, OK 74104-4419 2008-06-06
1326145962 Richard Charles Staab Internal Medicine 1810 E 15th St, Tulsa, OK 74104-4611 2006-09-17
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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