Individual
VENKATA SATYA DURGA SLN SRAVAN GUDIPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 E WAYNE ST APT 212, EDMOND, OK 73034-5138
(872) 275-6514
Mailing address
900 E WAYNE ST APT 212, EDMOND, OK 73034-5138
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
05/05/2026
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