NPI 1356621353 · live from the CMS NPI Registry
Taraka Vijaya Rama Raju Gadiraju, MD
Internal Medicine, Cardiovascular Disease in Tulsa, OK. National Provider Identifier 1356621353, active.
NPI record
| NPI | 1356621353 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 6151 S Yale Ave Ste 1-304, Tulsa, OK 74136 |
| Practice phone | 918-494-5300 |
| Mailing address | 6600 S Yale Ave Ste 1200, Tulsa, OK 74136 |
| Enumerated | August 22, 2011 |
| Last updated | April 16, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 34600 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.