# VENKATESH MOVVA MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831115088
- **Authorized official:** VENKATESH MOVVA MD (OWNER)
- **Authorized official phone:** (918) 502-4000

## Contact information

- **Practice address:** 6565 S YALE AVE, \#212, TULSA, OK 74136
- **Practice address phone:** (918) 502-4000
- **Practice address fax:** (918) 502-4001
- **Mailing address:** PO BOX 21568, TULSA, OK 74121-1568
- **Mailing address phone:** (918) 502-4000
- **Mailing address fax:** (918) 502-4001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 20519 | OK | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 04/22/2008
