Primarypractice LLC

NPI #1932787926 in Norman, Oklahoma

Provider Information

NPI Number: 1932787926
Entity Type: Organization
Organization Name: Primarypractice LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 31, 2021
Last Updated: Mar 31, 2021

Practice Location

Address: 1125 N PORTER AVE STE 101
City: Norman
State: Oklahoma
ZIP Code: 73071-6443
Phone: (405) 364-0630

Authorized Official

Name: DR. KUMAR B ENNAMURI, MD
Title: OWNER/PRESIDENT
Phone: (405) 820-2586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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