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Contact Information

SRIKANTH K REDDY, MD
4812 S 109TH EAST AVE
SUITE 300
TULSA, OK74146-5826
 Phone: 918-392-1400
 Fax: 918-236-4587
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for SRIKANTH K REDDY · (Male)

NPI Number 1912934100
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2006
Last updated 02/21/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 2073307
  • OK Medicaid 100173420C
  • OK Other 250012255 RAILROAD MEDICARE
  • OK Other P00216400 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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