Individual
SANTARAM VALLURUPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 STANTON L YOUNG BLVD, SUITE WP 1380, OKLAHOMA CITY, OK 73104-5036
(405) 271-4426
(405) 271-3074
Mailing address
920 STANTON L YOUNG BLVD, SUITE WP 1380, OKLAHOMA CITY, OK 73104-5036
(405) 271-4426
(405) 271-3074
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2008015178
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
121194
OH
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
30833
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121194
STATE BOARD OF OHIO
OH
01
—
2008015178
MEDICAL LICENSE
MO
01
—
30833
OKLAHOMA MEDICAL BOARD
OK
Enumeration date
06/27/2008
Last updated
11/12/2021
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