Active NPI
Soroush Kakawand, MD. MSC.
- Neurology Physician
- Oklahoma City, OK
National Provider Identifier
1043900616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 41503
- Practice address
- 920 Stanton L Young Blvd Ste 2040
Oklahoma City, OK 73104-5036 - Phone
- (405) 271-4658
- NPI assigned
- May 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 41503 | OK | Primary |
Addresses
Primary practice location
920 Stanton L Young Blvd Ste 2040
Oklahoma City, OK 73104-5036
Mailing address
920 Stanton L Young Blvd Ste 2040
Oklahoma City, OK 73104-5036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41503 | OK | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1043900616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD STE 2040",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD STE 2040",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045036",
"telephone_number": "405-271-4658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKAWAND",
"first_name": "SOROUSH",
"name_prefix": "Dr.",
"credential": "MD. MSC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "41503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.