Kidiyoor, Soumya Krishnamurthy
Kidiyoor, Soumya Krishnamurthy is an individual health care provider with primary practice located at 300 Rockefeller Dr , Muskogee OK 74401-5075. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Kidiyoor, Soumya Krishnamurthy can be contacted via phone (918) 502-1900.Contact Information
Primary practice address
300 Rockefeller Dr
Muskogee OK 74401-5075
Phone: (918) 502-1900
Fax: (918) 494-6303
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 25072 | Oklahoma |
Profile Details
NPI number | 1407992928 |
---|---|
LBN Legal business name | Kidiyoor, Soumya Krishnamurthy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2007 |
Last updated | Jul 18th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407992928 | NPPES |
Oklahoma | MEDICAID | 200209020B |
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