BOBBY KOSHY MUTHALALY (NPI# 1457375586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457375586 |
| Entity Type | Individual |
| Full Name | BOBBY KOSHY MUTHALALY |
| Credential | MD |
| Practice Address |
2000 S Wheeling Ave Ste. 510 Tulsa OK 74104-5649 |
| Practice Telephone | 9187475200 |
| Practice Fax Number | 9187487517 |
| Mailing Telephone | 9187475200 |
| Mailing Fax Number | 9187487517 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
20881 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
2000 S WHEELING AVE STE. 510 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627325 | Robert L. Cossman | Internal Medicine | 2000 S Wheeling Ave, Ste 1000, Tulsa, OK 74104-5648 | 2005-05-23 |
| 1740666015 | Jay Williamson Do PC | Obstetrics & Gynecology | 2000 S Wheeling Ave, Ste. 700, Tulsa, OK 74104 | 2015-08-10 |
| 1396123246 | Caleb Eugene Burrows | Otolaryngology | 2000 S Wheeling Ave, Ste 900, Tulsa, OK 74104-5647 | 2015-05-12 |
| 1013314715 | Laura Kerr | Physician Assistant | 2000 S Wheeling Ave, Ste 200, Tulsa, OK 74104-5649 | 2014-11-24 |
| 1093157562 | Vanessa Erin Bennett | Optometrist | 2000 S Wheeling Ave, Ste 1010, Tulsa, OK 74104-5649 | 2013-07-24 |
| 1225320328 | Claire Lukeman Mattocks | Pediatrics | 2000 S Wheeling Ave, Suite 300, Tulsa, OK 74104-5649 | 2011-05-07 |
| 1497046437 | Eric Gregory | Physician Assistant | 2000 S Wheeling Ave, Tulsa, OK 74104-5649 | 2011-04-25 |
| 1396049086 | Kelsey D Wilkins | Physician Assistant | 2000 S Wheeling Ave, Ste 100, Tulsa, OK 74104-5649 | 2011-01-10 |
| 1174824304 | Tulsa Pain Consultants, Inc. | Pain Medicine | 2000 S Wheeling Ave, Suite 600, Tulsa, OK 74104-5649 | 2010-11-04 |
| 1174836241 | Marc A Goldberg Md PC | Eyewear Supplier (Equipment, not the service) | 2000 S Wheeling Ave, Suite 1010, Tulsa, OK 74104-5649 | 2010-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1972740389 | Oklahoma Hypertension and Kidney Center, Plcc | Internal Medicine | 10203 S Canton Ave, Tulsa, OK 74137-6059 | 2009-01-08 |
| 1861676736 | Salah Uddin | Internal Medicine | 1923 E 21st St Ste 200, Tulsa, OK 74114-1447 | 2007-12-27 |
| 1417096629 | Muhammad Afzal | Internal Medicine | 6465 S Yale Ave Ste 804, Tulsa, OK 74136-7810 | 2007-02-05 |
| 1487735593 | Osteopathic Physicians of Tulsa, Inc. | Internal Medicine | 802 S Jackson Ave Ste 301, Tulsa, OK 74127-9057 | 2006-10-17 |
| 1568550663 | Christine Wilson | Internal Medicine | Dept 2761, Tulsa, OK 74182-0001 | 2006-10-11 |
| 1396760112 | Sohail Kareem | Internal Medicine | 6465 S Yale Ave Ste 401, Tulsa, OK 74136-7806 | 2006-07-13 |
| 1649203142 | Thomas Richard Medlock | Internal Medicine | 2000 S Wheeling Ave Ste 510, Tulsa, OK 74104-5649 | 2006-07-08 |
| 1669089280 | Tessa Lynne Mcclanahan | Internal Medicine | 2000 S Wheeling Ave Ste 510, Tulsa, OK 74104-5642 | 2020-09-28 |
| 1376938167 | Kevin Fu | Internal Medicine | 6465 S Yale Ave Ste 804, Tulsa, OK 74136-7810 | 2015-03-30 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.