Basic Information
Provider Information
NPI: 1851025688
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINDI
FirstName: HENRY
MiddleName: OSWALD
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 26901
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731260901
CountryCode: US
TelephoneNumber: 4052714351
FaxNumber: 4052718695
Practice Location
Address1: 920 STANTON L YOUNG BLVD STE 1140
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731045036
CountryCode: US
TelephoneNumber: 4052714351
FaxNumber: 4052718695
Other Information
ProviderEnumerationDate: 07/16/2022
LastUpdateDate: 10/31/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/31/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X820186TXN Nursing Service ProvidersRegistered Nurse 
367500000X210127OKY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


Home