Individual
DR. SRILATHA R AYIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3106 NW ARLINGTON AVE, LAWTON, OK 73505-6123
(580) 250-4278
(580) 581-1548
Mailing address
3106 NW ARLINGTON AVE, LAWTON, OK 73505-6123
(580) 250-4278
(580) 581-1548
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
30185
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200506780
—
OK
05
—
340928
—
SC
Enumeration date
10/02/2007
Last updated
02/04/2014
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