NPI 1073525515 · live from the CMS NPI Registry
Diego Sebastian Humphrey, MD
Internal Medicine, Cardiovascular Disease in Tahlequah, OK. National Provider Identifier 1073525515, active.
NPI record
| NPI | 1073525515 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 1500 E. Downing #, Tahlequah, OK 74464 |
| Practice phone | 918-207-0882 |
| Mailing address | Po Box 1008, Tahlequah, OK 74465 |
| Enumerated | August 13, 2006 |
| Last updated | April 8, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 19979 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.