Individual
DR. SREELATHA KASUGANTI KRISHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9001 S 101ST EAST AVE, STE. 370, TULSA, OK 74133-5708
(918) 392-7500
(918) 254-2119
Mailing address
9001 S 101ST EAST AVE, STE. 370, TULSA, OK 74133-5708
(918) 392-7500
(918) 254-2119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23530
OK
208000000X
Pediatrics Physician
23530
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200119730A
—
OK
Enumeration date
01/18/2007
Last updated
05/03/2014
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