Individual
POOJA MOHAN PADIGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 S UTICA AVE STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762
Mailing address
1145 S UTICA AVE STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022008784
MO
208M00000X
Hospitalist Physician
35450
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2017
Last updated
07/07/2022
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