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General NPI Number Information
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NPI Number | 1598460537
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Entity Type | Individual
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Provider Name | NIKHILA REDDY SULTANPURAM MD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2023
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 800 NE 10TH ST # L100
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5418
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Country | US
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Telephone | 405-271-3016
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Fax |
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Provider Business Mailing Address
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Address Line | 625 19TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1900
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Country | US
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Telephone | 925-201-9999
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 45854
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License Number State | OK
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