Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lata Koirala

Individual provider Medical Physician Assistant · NPI 1639569577

Lata Koirala is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2014, 12 years ago. Practices with Gastroenterology Practice Associates, PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Oklahoma and Texas.

Years since qualifying
12
Licensed in
OK, TX
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1145 S Utica Ave Ste 460
Tulsa, OK 74104-4000
Phone: (918) 579-5749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA12108 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2483 (OK)

Record details

NPI number1639569577
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2015
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022
Mailing address1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4041

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Gastroenterology Practice Associates, Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tulsa