Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Poly Tan, MD

Individual provider Psychiatry Physician · NPI 1922018464

Dr. Poly Tan, MD is a Psychiatry Physician in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1620 E 12th St
Tulsa, OK 74120-5407
Phone: (918) 582-2131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 20986 (OK)

Record details

NPI number1922018464
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 8, 2006
Last updated in NPPESJuly 9, 2007
Mailing address7422 W 40th St, Tulsa, OK 74107-4853

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