Individual
DR. KRISHNA VEDALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2605 SW 119TH ST STE A, OKLAHOMA CITY, OK 73170-2601
(405) 912-3400
(405) 912-3445
Mailing address
2605 SW 119TH ST STE A, OKLAHOMA CITY, OK 73170-2601
(405) 912-3400
(405) 912-3445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38348
OK
Other
Enumeration date
04/13/2018
Last updated
11/17/2021
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