Organization Active NPI

Molecular MD LLC

  • Nuclear Imaging & Therapy Physician
  • Tulsa, OK
National Provider Identifier
1619425501
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
29055 Issued in OK
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

Updated by the provider on Dec 19, 2016

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)CodeLicenseStatePrimary
Nuclear Imaging & Therapy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
OKA104608OtherOKMEDICARE P10
200437310AMedicaidOK

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.