Individual
DR. VASUEVAN UNNITHAN RAGHURAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6160 S YALE AVE FL 1, TULSA, OK 74136-1930
(918) 497-3300
(918) 497-3365
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 488-6045
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25011
OK
207RG0100X
Gastroenterology Physician
37588
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104786222
CAQH
—
05
—
200090470A
—
OK
Enumeration date
03/14/2006
Last updated
05/28/2019
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