Organization
KUMAR B ENNAMURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMAR B ENNAMURI MD (PHYSICIAN)
(405) 820-2586
Entity
Organization
Contact information
Practice address
1125 N PORTER AVE STE 101, NORMAN, OK 73071-6443
(405) 364-0630
(405) 364-0760
Mailing address
1125 N PORTER AVE STE 101, NORMAN, OK 73071-6443
(405) 364-0630
(405) 364-0760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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