1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Psychiatry Neurology
  6. NPI Profile

DR. POLY TAN M.D.
NPI 1922018464
Psychiatry & Neurology - Psychiatry in Tulsa, OK

Active since August 08, 2006
1620 E 12TH ST, TULSA, OK 74120(918) 582-2131 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Poly Tan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. POLY TAN M.D. (NPI 1922018464) is an individual psychiatry provider in Tulsa, Oklahoma, licensed in Oklahoma (20986) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1922018464
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. POLY TANCredential: M.D.
Location Address1620 E 12TH STTulsa, OK 74120-5407
Mailing Address7422 W 40th StTulsa, OK 74107-4853 · (918) 447-0495
Phone(918) 582-2131
Sole ProprietorYes
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1922018464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OK · 20986
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1620 E 12TH ST, Tulsa, OK 74120
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIND05239OK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRED HERBERT WELCH LCSW
Social Worker (Clinical)
1620 E 12TH ST
TULSA, OK 74120
Tulsa County (918) 582-2131
JOHN B WHITE MD
Psychiatry & Neurology (Psychiatry)
1620 E 12TH ST
TULSA, OK 74120
Tulsa County (918) 357-5859
MARY KILPATRICK LPC
Counselor (Mental Health)
1620 E 12TH ST
TULSA, OK 74120
Tulsa County (918) 582-2131
AUDREY KATHERINE BRYAN LCSW
Social Worker (Clinical)
1620 E 12TH ST
TULSA, OK 74120
Tulsa County (918) 582-2131
UCHENNA OKOLONWAMU P.A
Physician Assistant (Medical)
1620 E 12TH ST
TULSA, OK 74120
Tulsa County (918) 582-2131
TINA COOPER LPC
Counselor (Professional)
1620 E 12TH ST
TULSA, OK 74120
Tulsa County (918) 586-4201
VERLETTA RUSSELL LPC
Counselor (Mental Health)
1620 E 12TH ST
TULSA, OK 74120
Tulsa County (918) 582-2131
DARREN SANCHEZ LPC
Counselor (Mental Health)
1620 E 12TH ST
TULSA, OK 74120
Tulsa County (918) 582-2131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poly Tan's NPI number?

The NPI number for Poly Tan is 1922018464. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Poly Tan located?

Poly Tan practices at 1620 E 12th St, Tulsa, OK 74120. The listed phone number is (918) 582-2131.

What is Poly Tan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Poly Tan was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.