Individual
SATISH BHADRIRAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6585 S YALE AVE STE 650, TULSA, OK 74136-8319
(918) 502-5600
(918) 502-5603
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3333
(918) 488-6687
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13924
AR
207R00000X
Internal Medicine Physician
P6143
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
31260
OK
208M00000X
Hospitalist Physician
31260
OK
208M00000X
Hospitalist Physician
60351
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334834401 (MDACC)
—
TX
01
—
8EE282
BCBS (MDACC)
TX
01
—
P01296600 (MDACC)
RR MEDICARE
TX
Enumeration date
06/25/2006
Last updated
07/27/2022
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