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Organization

OMEGA PRACTICE MANAGEMENT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANIL K REDDY M.D. (PHYSICAL MEDICINE & REHABILITIATION)
(918) 392-7071
Entity
Organization

Contact information

Practice address
1145 S. UTICA, STE 901, TULSA, OK 74104-4013
(918) 392-7071
(918) 392-7072
Mailing address
9130 E 77TH ST, TULSA, OK 74133-4922

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085841112004
BLUECROSSBLUESHIELD OF OK
OK
05
100010230B
OK
Enumeration date
08/08/2006
Last updated
08/13/2008
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