Individual
MADHAVI KOMMAREDDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-5346
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3310
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D65347
MD
208M00000X
Hospitalist Physician
Primary
26603
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200214000A
—
OK
Enumeration date
05/11/2007
Last updated
08/23/2017
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