Individual
SRIVIDHYA MURALIDHARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
11601 S WESTERN AVE, OKLAHOMA CITY, OK 73170
(405) 691-5208
(405) 378-0556
Mailing address
8904 NW 85TH PL, OKLAHOMA CITY, OK 83132
(405) 850-9955
(405) 799-6500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1166
OK
Other
Enumeration date
05/02/2007
Last updated
02/11/2010
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