Individual
SUJATA PRASAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3330 NW 56TH ST, SUITE 308, OKLAHOMA CITY, OK 73112-4479
(405) 604-0688
(405) 604-0689
Mailing address
3330 NW 56TH ST, SUITE 308, OKLAHOMA CITY, OK 73112-4479
(405) 604-0688
(405) 604-0689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22084
OK
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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