Provider Demographics
NPI:1871936906
Name:HILL TAYLOR, DREYLANA SHATORI (MD)
Entity type:Individual
Prefix:
First Name:DREYLANA
Middle Name:SHATORI
Last Name:HILL TAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DREYLANA
Other - Middle Name:SHATORI
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:650 S PEORIA AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-4429
Mailing Address - Country:US
Mailing Address - Phone:918-587-9471
Mailing Address - Fax:918-560-1399
Practice Address - Street 1:8177 S HARVARD AVE # 334
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-1612
Practice Address - Country:US
Practice Address - Phone:918-986-7124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-221392084P0800X
OK298562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry