Provider Demographics
NPI:1699101402
Name:BHATTARAI, SRISTI (MD)
Entity type:Individual
Prefix:
First Name:SRISTI
Middle Name:
Last Name:BHATTARAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6600 S YALE AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3331
Mailing Address - Country:US
Mailing Address - Phone:888-247-0125
Mailing Address - Fax:918-502-8001
Practice Address - Street 1:10507 E 91ST ST STE 560
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5470
Practice Address - Country:US
Practice Address - Phone:918-307-3100
Practice Address - Fax:918-307-3101
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2024-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK31987207RI0200X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK2006453050AMedicaid