Active NPI
Molecular MD LLC
- Nuclear Imaging & Therapy Physician
- Tulsa, OK
National Provider Identifier
1619425501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Imaging & Therapy Physician
- License
- 29055
- Legal business name
- MOLECULAR MD LLC
- Practice address
- 11308 S College Ave
Tulsa, OK 74137-8728 - Phone
- (212) 365-4101
- NPI assigned
- Sep 20, 2016
- 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. Sumina Goel, MD
- Title
- Physician
- Phone
- (212) 365-4101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Imaging & Therapy Physician | 207UN0902X | 29055 | OK | Primary |
Addresses
Primary practice location
11308 S College Ave
Tulsa, OK 74137-8728
Mailing address
11308 S College Ave
Tulsa, OK 74137-8728
Phone (212) 365-4101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OKA104608 | Other | OK | MEDICARE P10 |
| 200437310A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482105600000",
"number": "1619425501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11308 S COLLEGE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741378728",
"telephone_number": "212-365-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11308 S COLLEGE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741378728",
"telephone_number": "212-365-4101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOLECULAR MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-20",
"last_updated": "2016-12-19",
"status": "A",
"authorized_official_last_name": "GOEL",
"authorized_official_first_name": "SUMINA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "212-365-4101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207UN0902X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "OK",
"license": "29055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE P10",
"identifier": "OKA104608",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200437310A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.