Individual
KUMAR B ENNAMURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 N PORTER AVE STE 300, NORMAN, OK 73071-6443
(405) 364-0630
(405) 506-3046
Mailing address
1125 N PORTER AVE STE 300, NORMAN, OK 73071-6443
(405) 364-0630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20474
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100018370F
—
OK
Enumeration date
06/03/2006
Last updated
09/11/2025
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