Provider Demographics
NPI:1871112318
Name:CHEN, ELIZABETH YIWEI (DO)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:YIWEI
Last Name:CHEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 E 35TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-2651
Mailing Address - Country:US
Mailing Address - Phone:918-605-2434
Mailing Address - Fax:
Practice Address - Street 1:2448 E 81ST ST STE 3700
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4257
Practice Address - Country:US
Practice Address - Phone:918-236-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program