Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 066874 | GA |
N | 111NI0900X | Internist | 066874 | GA |
N | 207RI0200X | Infectious Disease | 066874 | GA |
Y | 207RI0200X | Infectious Disease | 28931 | OK |
NPI | 1013146398 |
---|---|
Provider Name | Girish Janardhana Murthy |
First Address | Oklahoma City, OK 73105-1840 |
Second Address | Ardmore, OK 73401-1828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2009 |
Last Update Date | 22/09/2015 |