Active NPI
Sawan Surgical Aesthetics PLLC
- Plastic Surgery Physician
- Edmond, OK
National Provider Identifier
1073984621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 23616
- Legal business name
- SAWAN SURGICAL AESTHETICS PLLC
- Practice address
- 209 Lilac Drive
# 200
Edmond, OK 73034 - Phone
- (405) 788-0785
- NPI assigned
- Oct 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kamal T Sawan, MD
- Title
- Plastic Surgeon / Owner
- Phone
- (405) 788-0785
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 23616 | OK | Primary |
Addresses
Primary practice location
209 Lilac Drive
# 200
Edmond, OK 73034
Mailing address
PO Box 29
Norman, OK 73070-0029
Phone (405) 788-0785
Other names 1
- Sawan Institute for Aesthetic Plastic Surgery PLLC
National Provider Directory
National Provider DirectoryLocations
209 Lilac Dr
Ste 200
Edmond, OK 73034
Phone (405) 788-0785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444262400000",
"number": "1073984621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29",
"city": "NORMAN",
"state": "OK",
"postal_code": "730700029",
"telephone_number": "405-788-0785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 LILAC DRIVE",
"address_2": "# 200",
"city": "EDMOND",
"state": "OK",
"postal_code": "73034",
"telephone_number": "405-788-0785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAWAN SURGICAL AESTHETICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-08",
"last_updated": "2015-10-08",
"status": "A",
"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",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "OK",
"license": "23616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sawan Institute for Aesthetic Plastic Surgery PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.