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NPI Code Detail

MEDICARE: SRI RAMA SURYA TEZ KATTULA M.D

MEDICARE:   SRI RAMA SURYA TEZ  KATTULA  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
1208M00000XHospitalist Physician30969OK
2208M00000XHospitalist Physician04-51946KS

General Provider Information

NPI Number : 1952665192
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRI RAMA SURYA TEZ KATTULA M.D
Provider Business Mailing Address
First Line : 6600 S YALE AVE STE 1200
Second Line :
City : TULSA
State : OK
Zip : 74136-3361
Country : US
Telephone Number : 918-488-6045
Fax Number : 918-488-6098
Provider Business Practice Location Address
First Line : 6161 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136
Country : US
Telephone Number : 918-502-1900
Fax Number : 918-494-6303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2012
Last Update Date : 12/10/2025

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Directions to “ SRI RAMA SURYA TEZ KATTULA M.D” Practice Location

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