| Deepti Ganti Chrusciel, MD | |
| 
					6800 Nw 39th Expy, Bethany, OK 73008-2513  | |
| (405) 440-9866 | |
| (405) 438-3834 | 
| Full Name | Deepti Ganti Chrusciel | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 6800 Nw 39th Expy, Bethany, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659562635 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 2007016654 (Missouri) | Primary | 
| Entity Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607  | 
| Entity Name | Ou Health Partners Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Deepti Ganti Chrusciel, MD 6800 Nw 39th Expy, Bethany, OK 73008-2513 Ph: (405) 440-9866  | Deepti Ganti Chrusciel, MD 6800 Nw 39th Expy, Bethany, OK 73008-2513 Ph: (405) 440-9866  | 
Dr. Darin Kent Brannan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-440-9866 Fax: 405-440-9341  | |
Dr. Michael E. Johnson Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711 Fax: 405-440-6750  | |
Dr. Sarah Mary Mende, MD, MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711  | |
Dr. John E Beavers, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7530 Nw 23rd St, Bethany, OK 73008 Phone: 405-730-6990 Fax: 405-703-3116  | |
Robert Couch, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711  | |
Holly S Kessler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6800 Nw 39th Expy, Bethany, OK 73008 Phone: 405-789-6711  |