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Individual

DR. TARAKA VIJAYA RAMA RAJU GADIRAJU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6151 S YALE AVE STE 1-304, TULSA, OK 74136-1907
(918) 494-5300
(918) 494-5455
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3333
(918) 488-6045
(918) 488-6098

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34600
OK

Other

Enumeration date
08/22/2011
Last updated
04/16/2020
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