Individual
REEJA KURUVILLA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1200 CHILDRENS AVE STE 9A, OKLAHOMA CITY, OK 73104-4637
(405) 271-2234
Mailing address
2413 NW 159TH TER, EDMOND, OK 73013-7312
(405) 812-6729
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
5135
OK
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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