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NPI Code Detail

MEDICARE: TULSA RHEUMATOLOGY CLINIC LLC

MEDICARE: TULSA RHEUMATOLOGY CLINIC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RR0500XRheumatology Physician

General Provider Information

NPI Number : 1437802998
Entity Type Code : Organization
Provider Name (Legal Business Name) : TULSA RHEUMATOLOGY CLINIC LLC
Provider Business Mailing Address
First Line : 2622 E 21ST ST STE 1
Second Line :
City : TULSA
State : OK
Zip : 74114-1738
Country : US
Telephone Number : 918-935-2775
Fax Number : 539-867-1681
Provider Business Practice Location Address
First Line : 2622 E 21ST ST STE 1
Second Line :
City : TULSA
State : OK
Zip : 74114-1738
Country : US
Telephone Number : 918-935-2775
Fax Number : 539-867-1681
Authorized Official
Title or Position : MANAGING MEMBER
Name : LINDSAY CUNNINGHAM
Credential : SO
Telephone Number : 918-935-2775
Provider Enumeration Date : 02/03/2022
Last Update Date : 07/27/2025

Similar Medicare Providers

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Practice Location Address:
2622 E 21ST ST STE 2
TULSA, OK
74114-1738
Practice Phone: 918-895-7680
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1063305498 — CHRISTIAN HANSEN
Practice Location Address:
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TULSA, OK
74114-1738
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Practice Fax:
1275428450 — RYAN HARBER
Practice Location Address:
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TULSA, OK
74114-1738
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1477440287 — SMAYA RAVINDRA KATTIMANI
Practice Location Address:
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TULSA, OK
74114-1738
Practice Phone: 918-895-7680
Practice Fax: 918-236-4646

Directions to “TULSA RHEUMATOLOGY CLINIC LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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