Individual
PRAHARSHA TANGIRALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
940 NE 13TH ST, OKLAHOMA CITY, OK 73104-5008
(405) 271-5125
(405) 271-5125
Mailing address
940 NE 13TH ST, OKLAHOMA CITY, OK 73104-5008
(405) 271-5125
(405) 271-5125
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8550
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2023
Last updated
06/21/2024
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