Provider Demographics
NPI:1285255349
Name:SKAFTASON, HELGA K (MD)
Entity type:Individual
Prefix:
First Name:HELGA
Middle Name:K
Last Name:SKAFTASON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10507 E 91ST ST STE 310
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5587
Mailing Address - Country:US
Mailing Address - Phone:918-307-3200
Mailing Address - Fax:918-307-3210
Practice Address - Street 1:10507 E 91ST ST STE 310
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5587
Practice Address - Country:US
Practice Address - Phone:918-307-3200
Practice Address - Fax:918-307-3210
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK36194207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK201201950AMedicaid