Individual
PRADYUMNA AGASTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
341 S 33RD ST, MUSKOGEE, OK 74401-5037
(918) 683-1831
(918) 687-7043
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
44552
OK
207RC0000X
Cardiovascular Disease Physician
Primary
20044
ND
207RI0011X
Interventional Cardiology Physician
44552
OK
Other
Enumeration date
04/30/2014
Last updated
03/25/2025
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