Individual
NARASIMHA RAO VATTIKUNTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 502-1900
(918) 494-6303
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
35.135601
OH
208M00000X
Hospitalist Physician
Primary
37303
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348739
—
OH
05
—
200940950A
—
OK
Enumeration date
07/09/2016
Last updated
04/16/2021
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