| Cronus PLLC | |
|
1815 E 15th St Tulsa OK 74104-4610 | |
| (918) 299-8232 | |
| Not Available |
| Full Name | Cronus PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1815 E 15th St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Farshid Zandi (OWNER) |
| Authorized Official Contact | 9182998232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cronus PLLC Po Box 4769 Tulsa OK 74159-0769 Ph: (918) 299-8232 | Cronus PLLC 1815 E 15th St Tulsa OK 74104-4610 Ph: (918) 299-8232 |
| NPI Number | 1326389842 |
|---|---|
| Provider Enumeration Date | 03/07/2013 |
| Last Update Date | 03/07/2013 |
| Medicare PECOS PAC ID | 6507006764 |
|---|---|
| Medicare Enrollment ID | O20130711000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326389842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 22558 (Oklahoma) | Primary |
| Provider Name | Farshid Adam Amir Zandi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578510657 PECOS PAC ID: 6709858418 Enrollment ID: I20040811001241 |
| Provider Name | Jennifer D Laeger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861816647 PECOS PAC ID: 9830313113 Enrollment ID: I20140605001926 |
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