person
Berry Cheriyan Thavalathil, MD
Primary Care Clinic/Center in Oklahoma City, Oklahoma
NPI 1851939326

Berry Cheriyan Thavalathil is a Primary Care Clinic/Center based in Oklahoma City, OK and is specialized in Primary Care. Berry Cheriyan Thavalathil practices in Oklahoma City, OK and has the professional credentials of MD. The NPI Number for Berry Cheriyan Thavalathil is 1851939326 and holds a License No. 21860 (Oklahoma).

The current practice location address for Berry Cheriyan Thavalathil is 921 Ne 13Th St, Oklahoma City, OK and can be reached out via phone at 405-456-1000. You can also correspond with Berry Cheriyan Thavalathil through the mailing address at 921 NE 13TH ST, OKLAHOMA CITY, OK - 73104-5007 (mailing address contact number: 787-653-6060).

Location: 921 Ne 13Th St, Oklahoma City, OK, 73104-5007
person
Provider Profile Details
NPI Number
1851939326
Provider Name
Berry Cheriyan Thavalathil
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
921 Ne 13Th St, Oklahoma City, OK, 73104-5007
Phone Number
405-456-1000
Fax Number
Provider Enumeration Date
12/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851939326 01 N/A
institution
Provider Business Practice Location Address Details
Address
921 Ne 13Th St
City
State
Zip
73104-5007
Phone Number
405-456-1000
Fax Number
person
Provider Business Mailing Address Details
Address
921 Ne 13Th St
City
State
Zip
73104-5007
Phone Number
787-653-6060
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
21860 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
21860 ()
Definition
Definition to come...
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