Individual
PRAVIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4090
(918) 579-1000
Mailing address
420 E ARCHER ST APT 534, TULSA, OK 74120-1486
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
39162
OK
Other
Enumeration date
07/16/2019
Last updated
10/02/2022
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