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Individual

DR. SHYAM SUNDER POLUDASU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1323 W 6TH AVE STE 201, STILLWATER, OK 74074-4306
(405) 533-3010
Mailing address
PO BOX 720006, NORMAN, OK 73070-4006
(405) 533-6099

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
28749
OK
207RI0011X
Interventional Cardiology Physician
Primary
28749
OK

Other

Enumeration date
12/27/2007
Last updated
08/09/2024
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