Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 26272 | OK |
Y | 207RP1001X | Pulmonary Disease | 26272 | OK |
NPI | 1083873848 |
---|---|
Provider Name | Arun K Devakonda |
First Address | Oklahoma City, OK 73112-5556 |
Second Address | Oklahoma City, OK 73109-3436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 16/08/2019 |