Individual
DR. SUBRAMANIAM KRISHNAMURTHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 S MISSION ST, SAPULPA, OK 74066-4637
(918) 227-3914
(918) 227-3922
Mailing address
114 S MISSION ST, SAPULPA, OK 74066-4637
(918) 227-3914
(918) 227-3922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14530
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100248510A
—
OK
Enumeration date
07/19/2005
Last updated
06/16/2008
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