Provider Demographics
NPI:1174758932
Name:HAMMAN, TIMA SUZANNE (MD)
Entity type:Individual
Prefix:MS
First Name:TIMA
Middle Name:SUZANNE
Last Name:HAMMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TIMA
Other - Middle Name:SUZANNE
Other - Last Name:KRAUSSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3400 S DOUGLAS BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73150-1014
Mailing Address - Country:US
Mailing Address - Phone:405-737-7000
Mailing Address - Fax:405-272-2898
Practice Address - Street 1:3400 S DOUGLAS BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73150-1014
Practice Address - Country:US
Practice Address - Phone:405-737-7000
Practice Address - Fax:405-272-2898
Is Sole Proprietor?:No
Enumeration Date:2009-05-22
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK26409207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine