Provider Demographics
NPI:1609885938
Name:KRISHNA & V.R., P.C.
Entity Type:Organization
Organization Name:KRISHNA & V.R., P.C.
Other - Org Name:PRAGNA H SUTHAR, DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRAGNA
Authorized Official - Middle Name:HEMANT
Authorized Official - Last Name:SUTHAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-254-0135
Mailing Address - Street 1:8929 S MEMORIAL DR
Mailing Address - Street 2:SUITE # 290
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-4330
Mailing Address - Country:US
Mailing Address - Phone:918-254-0135
Mailing Address - Fax:918-254-5116
Practice Address - Street 1:8929 S MEMORIAL DR
Practice Address - Street 2:SUITE # 290
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-4330
Practice Address - Country:US
Practice Address - Phone:918-254-0135
Practice Address - Fax:918-254-5116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK53411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty