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Individual

DR. RAGHUVEER VEDALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
900 NE 10TH ST, OKLAHOMA CITY, OK 73104-5420
(405) 271-4311
Mailing address
17813 MORNING SKY CT, EDMOND, OK 73012-8230
(405) 535-4722

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35704
OK
207Q00000X
Family Medicine Physician
94-09228
KS

Other

Enumeration date
06/08/2017
Last updated
04/07/2021
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