Provider Demographics
NPI:1851975023
Name:AWADALLA, TANZEEL OMER ELAMIN (MBBS)
Entity type:Individual
Prefix:
First Name:TANZEEL
Middle Name:OMER ELAMIN
Last Name:AWADALLA
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6600 S YALE AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3361
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6585 S YALE AVE STE 650
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-8319
Practice Address - Country:US
Practice Address - Phone:918-502-5600
Practice Address - Fax:918-502-5603
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK46143207QS1201X
MN76331207RS0012X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine