Provider Demographics
NPI:1487215786
Name:TANWIR, ASRA (MD)
Entity type:Individual
Prefix:
First Name:ASRA
Middle Name:
Last Name:TANWIR
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 1:711 STANTON L YOUNG BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5021
Mailing Address - Country:US
Mailing Address - Phone:405-271-4113
Mailing Address - Fax:405-271-5723
Practice Address - Street 1:825 NE 10TH ST STE 5B
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5417
Practice Address - Country:US
Practice Address - Phone:405-271-3635
Practice Address - Fax:405-271-2523
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN737132084E0001X, 2084N0400X
OK446042084E0001X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084E0001XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyEpilepsy