Individual
PRAVEEN K PONNAMREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 NE 10TH ST # 2E, OKLAHOMA CITY, OK 73104-5417
(405) 271-7001
(405) 271-7034
Mailing address
825 NE 10TH ST # 2E, OKLAHOMA CITY, OK 73104-5417
(405) 271-7001
(405) 271-7034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
229636
MA
207R00000X
Internal Medicine Physician
45006
OK
207RC0000X
Cardiovascular Disease Physician
Primary
45006
OK
207RH0005X
Hypertension Specialist Physician
229636
MA
208M00000X
Hospitalist Physician
16872
NH
208M00000X
Hospitalist Physician
229636
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027097
—
VT
05
—
3100323
—
NH
Enumeration date
07/16/2006
Last updated
07/30/2025
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