Individual
DR. RADHIKA MEDIPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13901 MCAULEY BLVD STE 303, OKLAHOMA CITY, OK 73134-8704
(405) 748-5800
(405) 748-5806
Mailing address
13901 MCAULEY BLVD, 100, OKLAHOMA CITY, OK 73134-8700
(405) 748-5800
(405) 748-5806
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
45912
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200210620A
—
OK
Enumeration date
11/01/2006
Last updated
09/24/2018
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