Individual
DR. RAVIKUMAR VASIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 N. 32ND ST., MUSKOGEE, OK 74401-5037
(918) 683-2000
(918) 686-0554
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
21102
OK
207RX0202X
Medical Oncology Physician
21102
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100027960A
—
OK
Enumeration date
06/02/2006
Last updated
12/18/2025
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