Basic Information
Provider Information
NPI: 1144544594
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCAUNASU
FirstName: ADRIAN
MiddleName: ALEXANDRU
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5300 N INDEPENDENCE AVE
Address2: STE. 280
City: OKLAHOMA CITY
State: OK
PostalCode: 731125556
CountryCode: US
TelephoneNumber: 4057137403
FaxNumber: 4057132794
Practice Location
Address1: 4401 S WESTERN AVE
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731093413
CountryCode: US
TelephoneNumber: 4057137403
FaxNumber: 4057132794
Other Information
ProviderEnumerationDate: 03/15/2010
LastUpdateDate: 04/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X27729OKY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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