Basic Information
Provider Information
NPI: 1154764892
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HIRSHBURG
FirstName: GENEVA
MiddleName: CHRISTINE WHITNEY
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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Mailing Information
Address1: 800 STANTON L YOUNG
Address2: ANDREW ACADEMIC TOWER, SUITE 2400
City: OKC
State: OK
PostalCode: 73104
CountryCode: US
TelephoneNumber: 4052717449
FaxNumber: 4052718547
Practice Location
Address1: 800 STANTON L YOUNG
Address2: ANDREW ACADEMIC TOWER, SUITE 2400
City: OKC
State: OK
PostalCode: 73104
CountryCode: US
TelephoneNumber: 4052717449
FaxNumber: 4052718547
Other Information
ProviderEnumerationDate: 04/11/2013
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XR4561TXN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XBP10045820TXN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X33252OKY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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