Individual
VENKATESH MOVVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6565 S YALE AVE, #212, TULSA, OK 74136
(918) 502-4000
(918) 502-4001
Mailing address
6565 S YALE AVE, #212, TULSA, OK 74136
(918) 502-4000
(918) 502-4001
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
20519
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103863500
WC STATE OF OK
OK
01
—
7999176
AETNA
—
Enumeration date
07/21/2006
Last updated
04/22/2008
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