Individual
DR. BALA KRISHNA V ARABOLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1202 N 16TH AVE, DURANT, OK 74701-2122
(580) 924-1144
(580) 924-6667
Mailing address
1202 N 16TH AVE, DURANT, OK 74701-2122
(580) 924-1144
(580) 924-6667
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11709
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0741308-01
—
TX
05
—
100019390A
—
OK
05
—
100019390C
—
OK
Enumeration date
07/05/2005
Last updated
07/18/2008
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