Mrs Surekha Manjunath Kamath, RD/LD | |
1919 S Wheeling Ave Ste 200, Tulsa, OK 74104 | |
(918) 748-7628 | |
(405) 742-5697 |
Full Name | Mrs Surekha Manjunath Kamath |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1919 S Wheeling Ave Ste 200, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598940892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1387 (Oklahoma) | Primary |
Provider Name | St John Physicians Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
Mailing Address | Practice Location Address |
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Mrs Surekha Manjunath Kamath, RD/LD 1919 S Wheeling Ave Ste 200, Tulsa, OK 74104-5631 Ph: (918) 748-7628 | Mrs Surekha Manjunath Kamath, RD/LD 1919 S Wheeling Ave Ste 200, Tulsa, OK 74104 Ph: (918) 748-7628 |
Mrs. Deanna Gum, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 W 3rd St, Suite 800, Tulsa, OK 74103 Phone: 918-585-3045 Fax: 918-585-3047 | |
Brittany Bennett, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-579-1000 | |
Mrs. Kristin Lynne Gibson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-7201 | |
Hillcrest Hospital South Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8801 S 101st East Ave, Tulsa, OK 74133 Phone: 918-294-4000 Fax: 918-294-4818 | |
Amanda Kaylene Humphreys, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 W 3rd St, Tulsa, OK 74103 Phone: 918-585-3045 | |
Christie Anne Huffman, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2815 S Sheridan Rd, Tulsa, OK 74129 Phone: 918-619-4300 Fax: 918-619-4322 | |
Mrs. Melissa L Davis-whitenack, M.S., R.D.,L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5870 S. 76th East Avenue, Tulsa, OK 74145 Phone: 918-622-9099 |