Individual
PRASOONKUMAR YENDLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 502-1900
(918) 494-6303
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3331
(516) 754-7554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35430
OK
208M00000X
Hospitalist Physician
Primary
35430
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200947170A
—
OK
Enumeration date
12/11/2013
Last updated
10/04/2024
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