Individual
ANU R. PRABHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6160 S YALE AVE, TULSA, OK 74136-1930
(918) 497-3140
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3310
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23244
OK
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
23244
OK
Other
Enumeration date
07/20/2005
Last updated
02/29/2008
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