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Individual

DR. SURESH BHARANI

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
3300 S ASPEN AVE, SUITE B, BROKEN ARROW, OK 74012-7501
(918) 455-4140
Mailing address
3300 S ASPEN AVE, SUITE B, BROKEN ARROW, OK 74012-7501
(918) 455-4140

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12973
OK

Other

Enumeration date
05/09/2006
Last updated
07/08/2007
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