Individual
BOBBY KOSHY MUTHALALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 S WHEELING AVE, STE. 510, TULSA, OK 74104-5649
(918) 747-5200
(918) 748-7517
Mailing address
2000 S WHEELING AVE, STE. 510, TULSA, OK 74104-5649
(918) 747-5200
(918) 748-7517
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20881
OK
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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