Individual provider · Type 1 NPI

Andre Luiz Pitanga Bastos De Souza, MD

Hematology & Oncology Physician · Oklahoma City, OK

NPI number 1053676627 Active

Practice location

800 NE 10th St Ste B
Oklahoma City, OK 73104-5418

Call (405) 271-4022 Map

Fax (405) 271-3020

Mailing address

515 Central Park Dr Ste 5009
Oklahoma City, OK 73105-1724

Other practice locations

  • 593 Eddy Street, Apc Main, Providence, RI 02903 · (401) 444-5435
  • 825 Chalkstone Ave, Providence, RI 02908 · (401) 456-5790

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X46042 (OK)
Hematology & Oncology Physician 207RH0003XMD16354 (RI)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

5 other providers at this address

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About NPI 1053676627

Andre Luiz Pitanga Bastos De Souza, MD's National Provider Identifier is 1053676627, issued on Jul 10, 2012. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 30, 2025.