Dr. Padma Venkataraman, MD
Internal Medicine, Endocrinology, Diabetes & Metabolism in Muskogee, OK. Individual provider (NPI-1).
NPI number1881925204
StatusActive
Last updated in NPPESJul 17, 2014
Details
- NPI
- 1881925204
- Entity type
- Individual (NPI-1)
- Name
- Dr. Padma Venkataraman
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2010
- Last updated
- Jul 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | 30595 | OK | Yes |
Practice location
350 S 40th StMuskogee, OK 74401-4915
Phone 918-683-0753 · Fax 918-683-5677
Mailing address
350 S 40th StMuskogee, OK 74401-4915
Phone 918-683-0753 · Fax 918-683-5677
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