Basic Information
| Provider Information | |||||||||
| NPI: | 1134647183 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABROL | ||||||||
| FirstName: | NITIN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5300 N INDEPENDENCE AVE | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731125556 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4059454587 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3400 NW EXPRESSWAY STE 700 | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731124492 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4059493816 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2017 | ||||||||
| LastUpdateDate: | 09/24/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 28128 | MN | N | Allopathic & Osteopathic Physicians | Surgery | 204F00000X | 28128 | MN | Y | Allopathic & Osteopathic Physicians | Transplant Surgery |
No ID Information.