Individual
NAGA SUSHMA CHAVVAKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7858 S OLYMPIA AVE, TULSA, OK 74132-1857
(918) 986-9200
(918) 986-9205
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(918) 488-6687
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35286
OK
Other
Enumeration date
04/06/2017
Last updated
07/02/2021
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