Individual
SRIDIVYA PARVATANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 502-1900
(918) 494-6303
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-11108
AR
208M00000X
Hospitalist Physician
Primary
35990
OK
208M00000X
Hospitalist Physician
E-11108
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200745550A
—
OK
Enumeration date
03/27/2014
Last updated
08/11/2020
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