NPI 1013466598

Jaya Prasad Shanmugam, MD

Practitioner Sports Medicine (Orthopaedic Surgery) Physician Bartlesville, OK

Practice location

Address: 3400 E Frank Phillips Blvd STE 301, Bartlesville, OK 74006-2439
Phone: (918) 582-6800
Fax: (918) 582-6060
Mailing address: 2431 E 61st St STE 500, Tulsa, OK 74136-1208

Registered specialties (3)

Sports Medicine (Orthopaedic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 04-43900 (KS)

Other Orthopaedic Surgery providers in Oklahoma →

Pediatric Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207XP3100X Licence 310210 (LA)

Orthopaedic Foot and Ankle Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207XX0004X Licence R-10460 (IA)

Registry record

NPI: 1013466598
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2016
Record last updated: 7 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.