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Individual

DR. BHAVITHA GEORGE RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7501 RIVERSIDE PKWY, TULSA, OK 74136-5056
(918) 710-4200
(918) 403-6331
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33878
OK
207Q00000X
Family Medicine Physician
67637
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10017697
OK BUREAU OF NARCOTICS AND DANGEROUS DRUGS
OK
01
33878
OK MEDICAL LICENSE
OK
Enumeration date
04/16/2018
Last updated
04/25/2025
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