OrganizationActive
Green Country Sports Physical Medicine and Rehab PC
NPI 1104039437 · Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician · Tulsa, OK
Provider details
- NPI number
- 1104039437
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Srikanth Reddy, Presedent
- License
- 20733 (OK)
Practice location
8803 S 101st East Ave
Suite#290
Tulsa, OK 74133-5726
Phone: (918) 459-9500
Fax: (918) 459-0995
Mailing address
8803 S 101st East Ave
Tulsa, OK 74133-5726
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2007-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.