Provider Demographics
NPI:1336117423
Name:KATHURIA, CHITRALEKHA (MD)
Entity Type:Individual
Prefix:
First Name:CHITRALEKHA
Middle Name:
Last Name:KATHURIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
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:918-502-8210
Practice Address - Street 1:10507 E 91ST ST STE 510
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5462
Practice Address - Country:US
Practice Address - Phone:918-307-5525
Practice Address - Fax:918-307-5526
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK22273207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100251720AMedicaid
OK100251720AMedicaid