Individual
MRS. SUREKHA MANJUNATH KAMATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
1919 S WHEELING AVE STE 200, TULSA, OK 74104
(918) 748-7628
(405) 742-5697
Mailing address
1919 S WHEELING AVE STE 200, TULSA, OK 74104-5631
(918) 748-7628
(918) 403-6316
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1387
OK
Other
Enumeration date
01/04/2008
Last updated
08/17/2018
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