Individual
KEERTHI GULLAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1245 S UTICA AVE, TULSA, OK 74104-4214
(918) 579-3850
Mailing address
1245 S UTICA AVE, TULSA, OK 74104-4214
(918) 579-3850
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
47511
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351046135
MI
Other
Enumeration date
06/23/2020
Last updated
04/26/2026
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