Provider Demographics
NPI:1770790289
Name:KOYA, SUPRIYA (MD)
Entity type:Individual
Prefix:
First Name:SUPRIYA
Middle Name:
Last Name:KOYA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1245 S UTICA AVE
Mailing Address - Street 2:FL 2
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4214
Mailing Address - Country:US
Mailing Address - Phone:918-579-3850
Mailing Address - Fax:918-579-3859
Practice Address - Street 1:1919 S WHEELING AVE
Practice Address - Street 2:STE 204
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5638
Practice Address - Country:US
Practice Address - Phone:918-403-7200
Practice Address - Fax:918-293-3110
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2016-01-12
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Provider Licenses
StateLicense IDTaxonomies
OK27704207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology