Individual
SHRAVAN SHRESTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1145 S UTICA AVE, STE 460, TULSA, OK 74104-4000
(918) 579-5749
(918) 579-5762
Mailing address
1145 S UTICA AVE, STE 460, TULSA, OK 74104-4000
(918) 579-5749
(918) 579-5762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19959
OK
208M00000X
Hospitalist Physician
Primary
19959
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100055230A
—
OK
05
—
100740390A
—
OK
Enumeration date
03/28/2006
Last updated
06/21/2019
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