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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
32956 | OK | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
462 Grider St, Dk Miller Building, Room 204, Buffalo, NY 142153021 | 7168984226 |
Street Address |
591 E 36TH ST N |
City | TULSA |
State | OK |
Zip Code | 74106 |
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 |
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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 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 |
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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.