Berry C Thavalathil, MD
Clinic/Center, Primary Care in Oklahoma City, Oklahoma
1851939326- Practice location
- 921 NE 13TH St, Oklahoma City, OK 73104-5007
- Phone
- 405-456-1000
- Fax
- —
- Last updated
- May 15, 2021
Berry Cheriyan Thavalathil is a Clinic/Center, Primary Care based in Oklahoma City, OK. 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 (PR). The current practice location address for Berry Cheriyan Thavalathil is 921 NE 13TH St, Oklahoma City, OK 73104-5007 and can be reached out via phone at 405-456-1000.
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
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Sole Proprietor
- Yes
- Other Names
- Berry Cheriyan Thavalathil, MD (Professional Name)
- Provider Enumeration Date
- December 16, 2019
- Last Update Date
- May 15, 2021
- Certification Date
- May 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 921 NE 13TH St
Oklahoma City, OK 73104-5007 - City
- Oklahoma City
- State
- Oklahoma
- Zip
- 73104-5007
- Phone Number
- 405-456-1000
Provider Business Mailing Address Details
- Address
- 921 NE 13TH St
Oklahoma City, OK 73104-5007 - City
- Oklahoma City
- State
- OK
- Zip
- 73104-5007
- Phone Number
- 787-653-6060
License Information
- License Number (1)
- 21860
- License State (1)
- PR
- Taxonomy (1)
- Clinic/Center, Rural Health · 261QR1300X
- License Number (2)
- 21860
- License State (2)
- PR
- Taxonomy (2)
- Clinic/Center, Primary Care · 261QP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Berry C Thavalathil, MD?
The NPI number of Berry C Thavalathil, MD is 1851939326. It was assigned on December 16, 2019 and is currently active in the NPPES registry.
What is the specialty of Berry C Thavalathil, MD?
Berry C Thavalathil, MD is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in PR under license number 21860.
Where does Berry C Thavalathil, MD practice?
The practice location is 921 NE 13TH St, Oklahoma City, OK 73104-5007. The office can be reached at 405-456-1000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851939326 directly on the NPPES registry website.