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NPI Code Detail

MEDICARE: DR. GANGA M PUJARI MD

MEDICARE: DR. GANGA M PUJARI MD
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
1208600000XSurgery Physician13134OK

General Provider Information

NPI Number : 1619936838
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GANGA M PUJARI MD
Provider Business Mailing Address
First Line : 6908 E RENO AVE
Second Line : SUITE 104
City : MIDWEST CITY
State : OK
Zip : 73110-2128
Country : US
Telephone Number : 405-736-0055
Fax Number : 405-736-6311
Provider Business Practice Location Address
First Line : 6908 E RENO AVE
Second Line : SUITE 104
City : MIDWEST CITY
State : OK
Zip : 73110-2128
Country : US
Telephone Number : 405-736-0055
Fax Number : 405-736-6311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. GANGA M PUJARI MD” Practice Location

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