KOTHAI DIVYA PRAGATHEESHWAR


Address: 591 E 36th St N, Tulsa, OK 74106
Phone: 9186194400

KOTHAI DIVYA PRAGATHEESHWAR (NPI# 1871933051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871933051
Entity Type Individual
Full Name KOTHAI DIVYA PRAGATHEESHWAR
Other Name KOTHAI DIVYA GURUSWAMY SANGAMESWARAN
Credential MD
Practice Address 591 E 36th St N
Tulsa
OK 74106
Mailing Address Po Box 268838
Oklahoma City
OK 73126-8838
Practice Telephone 9186194400
Practice Fax Number 9186194591
Mailing Telephone 9186194400
Mailing Fax Number 9186194152
Enumeration Date 2013-07-02
Last Update Date 2019-05-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
32956 OK Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
462 Grider St, Dk Miller Building, Room 204, Buffalo, NY 142153021 7168984226

Office Location

Street Address 591 E 36TH ST N
City TULSA
State OK
Zip Code 74106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114923448 Fred Garfinkel Internal Medicine 591 E 36th St N, Tulsa, OK 74106-1812 2005-06-22
1154972958 Nicole Marie Biddinger Physician Assistant 591 E 36th St N, Tulsa, OK 74106-1812 2019-09-23
1063075083 Briana King Social Worker 591 E 36th St N, Tulsa, OK 74106-1812 2019-04-16
1740730894 Lakia Dawn Wilson Social Worker 591 E 36th St N, Tulsa, OK 74106-1812 2016-10-12
1154726560 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Counselor 591 E 36th St N, Ste 200, Tulsa, OK 74106-1812 2014-10-28
1467743443 William David Butron Internal Medicine 591 E 36th St N, Tulsa, OK 74106-1812 2011-04-26
1376879304 Elizabeth Mcelroy Hill Physician Assistant 591 E 36th St N, Tulsa, OK 74106-1812 2009-10-27
1346404803 Syed Afzal Hussain Psychiatry & Neurology 591 E 36th St N, Tulsa, OK 74106-1812 2008-07-14
1992972277 Kimberly Claire Martin Pediatrics 591 E 36th St N, Tulsa, OK 74106-1812 2008-05-15
1821268707 Kyle Bielefeld Pediatrics 591 E 36th St N, Tulsa, OK 74106-1812 2008-03-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811538895 Desma Johnson Technician 784 East 43rd Street North, Tulsa, OK 74106 2019-10-01
1912462094 Breyan Lashawn Jackson Case Manager/Care Coordinator 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 2019-02-04
1740751445 Ernest Kaara Maina Family Medicine 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 2018-12-07
1568969632 A&m Healthcare Clinic Nurse Practitioner 3606 North Mlk Blvd, Tulsa, OK 74106 2018-04-06
1265880819 Paula Patricia Tullis Psychologist 1232 N Boston, Tulsa, OK 74106 2016-05-24
1326413030 Eartha Mcalester Counselor 628 E. Virgin St., Tulsa, OK 74106 2015-12-07
1114334182 James O Brannon Jr. Behavioral Analyst 2745 North Main, Tulsa, OK 74106 2014-07-22
1952718512 Teresa Marie Williams Counselor 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 2014-07-16
1639580764 Lynnette Dixon Case Management 708 East 38th Street North, Tulsa, OK 74106 2014-05-12
1184975898 Tiara Delonia Social Worker 1 W 36th St N Suite 1, Tulsa, OK 74106 2012-09-21
Find all providers in zip 74106

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City TULSA
Zip Code 74106

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Dataset Information

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.

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