Individual
ANEESH VENKAT PAKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6951 SE 15TH ST, MIDWEST CITY, OK 73110-2748
(405) 233-0450
(405) 233-0451
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 314-5257
(615) 692-0547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26407
OK
207RC0000X
Cardiovascular Disease Physician
Primary
26407
OK
Other
Enumeration date
07/11/2008
Last updated
01/26/2023
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