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1912359332

NPI Code Detail

MEDICARE: NARASIMHA RAO VATTIKUNTA MD

MEDICARE: NARASIMHA RAO VATTIKUNTA 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
1	207R00000X	Internal Medicine Physician	35.135601	OH
2	390200000X	Student in an Organized Health Care Education/Training Program
3	208M00000X	Hospitalist Physician	37303	OK
4	207R00000X	Internal Medicine Physician	MD226871	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912359332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NARASIMHA RAO VATTIKUNTA MD

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	:	07/09/2016
Last Update Date	:	05/22/2026

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Directions to “ NARASIMHA RAO VATTIKUNTA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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