Provider Demographics
NPI:1306012901
Name:OEI, OKKY TJHING SIONG (MD)
Entity Type:Individual
Prefix:
First Name:OKKY
Middle Name:TJHING SIONG
Last Name:OEI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15030 N HAYDEN RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2564
Mailing Address - Country:US
Mailing Address - Phone:480-659-5470
Mailing Address - Fax:480-361-7388
Practice Address - Street 1:15030 N HAYDEN RD STE 120
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2564
Practice Address - Country:US
Practice Address - Phone:480-659-5470
Practice Address - Fax:480-361-7388
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13583208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ107338Medicare UPIN