IndividualActive
Diego Humphrey, MD
NPI 1073525515 · Cardiovascular Disease Physician · Tahlequah, OK
Provider details
- NPI number
- 1073525515
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 19979 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1500 E. Downing #
Tahlequah, OK 74464
Phone: (918) 207-0882
Fax: (918) 207-0335
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1008
Tahlequah, OK 74465-1008
Additional practice locations (1)
- 300 Rockefeller DrMuskogee, OK 74401-5075Phone: (918) 682-5501Fax: (918) 684-2552
Registry dates
- Enumerated
- 2006-08-13
- Last updated
- 2020-04-08
- Certified
- 2020-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.