Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 27682 | OK |
NPI | 1265634562 |
---|---|
Provider Name | Dr. Hanumantha Rao Pokala |
First Address | Oklahoma City, OK 73102-1816 |
Second Address | Oklahoma City, OK 73104-4600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 09/12/2010 |