Individual
DR. LARRY LADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10109 E. 79TH STREET, TULSA, OK 74133
(918) 286-5000
(918) 249-7514
Mailing address
10109 E. 79TH STREET, TULSA, OK 74133
(918) 286-5000
(918) 249-7514
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M8109
TX
207P00000X
Emergency Medicine Physician
MD437041
PA
207Q00000X
Family Medicine Physician
M8109
TX
207Q00000X
Family Medicine Physician
MD437041
PA
207R00000X
Internal Medicine Physician
M8109
TX
207R00000X
Internal Medicine Physician
MD437041
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
32649
OK
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M8109
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD437041
PA
207RP1001X
Pulmonary Disease Physician
32649
OK
207RP1001X
Pulmonary Disease Physician
M8109
TX
207RP1001X
Pulmonary Disease Physician
MD437041
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
M8109
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD437041
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12111792
CAQH
—
Enumeration date
05/14/2006
Last updated
08/09/2018
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