Individual
DR. SEETHAL R MADHAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13401 N WESTERN AVE., STE. 301, OKLAHOMA CITY, OK 73114
(405) 478-7111
(405) 360-6769
Mailing address
3400 W TECUMSEH RD STE 101, NORMAN, OK 73072-1810
(405) 360-6764
(405) 360-6769
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23053
OK
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
23053
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200007520A
—
OK
Enumeration date
07/21/2006
Last updated
05/25/2016
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