Healthcare Provider Details

I. General information

NPI: 1982265815
Provider Name (Legal Business Name): SINDHURA KASTURI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2019
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6465 S YALE AVE STE 420
TULSA OK
74136-7806
US

IV. Provider business mailing address

6600 S YALE AVE STE 1400
TULSA OK
74136-3331
US

V. Phone/Fax

Practice location:
  • Phone: 918-502-1700
  • Fax: 918-502-1715
Mailing address:
  • Phone: 918-499-4855
  • Fax: 918-488-6098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number45261
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: