Individual provider · Type 1 NPI

Vaishali Samantaray, DO

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1740164409 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Call (918) 582-1972 Map

Mailing address

5810 E Skelly Dr # 806
Tulsa, OK 74135-6420

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740164409

Vaishali Samantaray, DO's National Provider Identifier is 1740164409, issued on Aug 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Aug 4, 2025.