Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 20384 | OK |
NPI | 1073583431 |
---|---|
Provider Name | Pranay Kathuria |
First Address | Oklahoma City, OK 73126-8838 |
Second Address | Tulsa, OK 74106-1812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 24/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100257970C | (05) | OK |