| Shantharam Darbe M D P C | |
|
4601 N Classen Blvd Oklahoma City OK 73118-4815 | |
| (405) 840-9999 | |
| (405) 840-9998 |
| Full Name | Shantharam Darbe M D P C |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4601 N Classen Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Shantharam Darbe (MANAGER, PHYSICIAN) |
| Authorized Official Contact | 4058409999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shantharam Darbe M D P C 4601 N Classen Blvd Oklahoma City OK 73118-4815 Ph: (405) 840-9999 | Shantharam Darbe M D P C 4601 N Classen Blvd Oklahoma City OK 73118-4815 Ph: (405) 840-9999 |
| NPI Number | 1174742597 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3274515416 |
|---|---|
| Medicare Enrollment ID | O20040602001082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174742597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2561 (Oklahoma) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 16024 (Oklahoma) | Primary |
| Provider Name | Shreekuma S Vinekar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396713640 PECOS PAC ID: 7416970793 Enrollment ID: I20060112000671 |
| Provider Name | Lakshma R Gunda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295703452 PECOS PAC ID: 3476551888 Enrollment ID: I20061120000190 |
| Provider Name | Ernest E Beckham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871561027 PECOS PAC ID: 5496917247 Enrollment ID: I20120424000539 |
| Provider Name | Cynthia G Barnard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992063085 PECOS PAC ID: 9133385107 Enrollment ID: I20120718000742 |
| Provider Name | Audra Yadack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851611602 PECOS PAC ID: 6800177999 Enrollment ID: I20170104000455 |
| Provider Name | Xiomara J Porras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245581883 PECOS PAC ID: 5294008082 Enrollment ID: I20170830000105 |
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