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Individual

BHAVANI CHOWDARY TUMMALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 502-1900
(918) 494-6303
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(918) 499-4855
(918) 488-6098

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014022610
MO
207R00000X
Internal Medicine Physician
2025-02373
NC
207R00000X
Internal Medicine Physician
38610
OK
208D00000X
General Practice Physician
MT 199759
PA
208M00000X
Hospitalist Physician
2025-02373
NC
208M00000X
Hospitalist Physician
Primary
38610
OK

Other

Enumeration date
08/05/2011
Last updated
10/03/2025
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