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Organization

KUMAR B ENNAMURI MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KUMAR B. ENNAMURI M.D. (OWNER)
(405) 364-0630
Entity
Organization

Contact information

Practice address
1125 N PORTER AVE STE 300, NORMAN, OK 73071-6443
(405) 364-0630
(405) 364-0760
Mailing address
1125 N PORTER AVE STE 300, NORMAN, OK 73071-6443
(405) 364-0630
(405) 364-0760

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
11/21/2006
Last updated
09/11/2025
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