Individual provider · NPI-1

Pradyumna Agasthi, M.B.B.S

Internal Medicine, Cardiovascular Disease · Muskogee, OK

NPI number1184034134

StatusActive

Last updated in NPPESMar 25, 2025

Details

NPI: 1184034134
Entity type: Individual (NPI-1)
Name: Pradyumna Agasthi
Credential: M.B.B.S
Sex: Male
Sole proprietor: No
Enumeration date: Apr 30, 2014
Certification date: Mar 25, 2025
Last updated: Mar 25, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RC0000X	Internal Medicine, Cardiovascular Disease	20044	ND	Yes
207RA0002X	Internal Medicine, Adult Congenital Heart Disease	44552	OK
207RI0011X	Internal Medicine, Interventional Cardiology	44552	OK

Practice location

341 S 33rd St
Muskogee, OK 74401-5037

Phone 918-683-1831 · Fax 918-687-7043

Mailing address

6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3361

Other practice locations

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Phone 480-301-8000

200 1st St Sw
Rochester, MN 55905-0001

Phone 507-284-2511

222 N 7th St
Bismarck, ND 58501-4436

Phone 701-323-6000

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