BOMAONYE TIENABESO MD NPI 1225772502

NPI Information

NPI: 1225772502
Provider Name: BOMAONYE TIENABESO, MD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
1316 NW 170TH ST
EDMOND, OK
ZIP 73012
Phone: (405) 476-0822
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Bomaonye Tienabeso, MD is a student in an organized health care education training program in Edmond, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Bomaonye Tienabeso, MD NPI is 1225772502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1316 NW 170TH ST
EDMOND, OK
ZIP 73012-410
Phone: (405) 476-0822

The enumeration date for this NPI number is 4/23/2022 and was last updated on 4/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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