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NPI Code Detail

MEDICARE: KIRAN KOMMARAJU

MEDICARE: KIRAN KOMMARAJU
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 PhysicianMD226868OR
2208M00000XHospitalist Physician34447OK
3207R00000XInternal Medicine Physician34447OK

General Provider Information

NPI Number : 1336599430
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRAN KOMMARAJU
Provider Business Mailing Address
First Line : 6600 S YALE AVE STE 1400
Second Line :
City : TULSA
State : OK
Zip : 74136-3331
Country : US
Telephone Number : 888-247-0125
Fax Number : 918-502-8001
Provider Business Practice Location Address
First Line : 6161 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-1902
Country : US
Telephone Number : 918-502-1900
Fax Number : 918-494-6303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2016
Last Update Date : 03/03/2026

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Directions to “ KIRAN KOMMARAJU ” Practice Location

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