Individual
VENKATESH RAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6151 S YALE AVE STE 1-304, TULSA, OK 74136-1907
(918) 494-5300
(918) 494-5455
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125063429
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
036139660
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
37552
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200971670A
—
OK
Enumeration date
06/28/2013
Last updated
06/17/2021
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