Individual provider · NPI-1

Soumya Krishnamurthy Kidiyoor, M.D

Hospitalist · Muskogee, OK

NPI number1407992928
StatusActive
Last updated in NPPESJul 18, 2022

Details

NPI
1407992928
Entity type
Individual (NPI-1)
Name
Soumya Krishnamurthy Kidiyoor
Credential
M.D
Sex
Female
Sole proprietor
No
Enumeration date
Jan 30, 2007
Certification date
Jul 18, 2022
Last updated
Jul 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist25072OKYes

Practice location

300 Rockefeller Dr
Muskogee, OK 74401-5075

Phone 918-502-1900 · Fax 918-494-6303

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331

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