Individual
DR. DEEPAK KARIBASSAPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 502-1900
(918) 494-6303
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(918) 488-6687
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
25764
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20019707A
—
OK
Enumeration date
08/23/2007
Last updated
02/23/2022
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