Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 24186 | OK |
NPI | 1003987611 |
---|---|
Provider Name | Ashok Krishnamurthy |
First Address | Oklahoma City, OK 73139-1807 |
Second Address | Oklahoma City, OK 73139-1807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 14/08/2020 |