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NPI Code Detail

MEDICARE: DR. VARA A UDUPA M.D.

MEDICARE: DR. VARA A UDUPA M.D.
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
1207R00000XInternal Medicine Physician21114OK

General Provider Information

NPI Number : 1073539623
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VARA A UDUPA M.D.
Provider Business Mailing Address
First Line : 9322 E 41ST ST
Second Line :
City : TULSA
State : OK
Zip : 74145-3721
Country : US
Telephone Number : 918-764-7243
Fax Number : 918-764-7258
Provider Business Practice Location Address
First Line : 9322 E 41ST ST
Second Line :
City : TULSA
State : OK
Zip : 74145-3721
Country : US
Telephone Number : 918-764-7243
Fax Number : 918-764-7258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2006
Last Update Date : 07/08/2007

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Directions to “ DR. VARA A UDUPA M.D.” Practice Location

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