Individual
DR. KISHORE VIPPERLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1145 S UTICA AVE STE 701, TULSA, OK 74104-4019
(918) 582-6544
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD437549
PA
207RG0100X
Gastroenterology Physician
Primary
38015
OK
Other
Enumeration date
08/05/2007
Last updated
05/25/2021
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