1073984621 NPI number — SAWAN SURGICAL AESTHETICS PLLC

Table of content: MICHAEL AMEDEO FRANZONE OD, MPH (NPI 1821589573)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073984621 NPI number — SAWAN SURGICAL AESTHETICS PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAWAN SURGICAL AESTHETICS PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073984621
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/08/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 29
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORMAN
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73070-0029
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-788-0785
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
209 LILAC DRIVE
Provider Second Line Business Practice Location Address:
# 200
Provider Business Practice Location Address City Name:
EDMOND
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-788-0785
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/08/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SAWAN
Authorized Official First Name:
KAMAL
Authorized Official Middle Name:
T
Authorized Official Title or Position:
PLASTIC SURGEON / OWNER
Authorized Official Telephone Number:
405-788-0785

Provider Taxonomy Codes

  • Taxonomy code: 208200000X , with the licence number:  23616 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com