| Thara Damodaran Md Llc | |
|
1925 Nw 142nd St Oklahoma City OK 73134-6193 | |
| (405) 706-3117 | |
| (877) 349-5185 |
| Full Name | Thara Damodaran Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1925 Nw 142nd St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Thara R Damodaran (OWNER) |
| Authorized Official Contact | 4807208744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thara Damodaran Md Llc Po Box 20490 Mesa AZ 85277-0490 Ph: (480) 985-1093 | Thara Damodaran Md Llc 1925 Nw 142nd St Oklahoma City OK 73134-6193 Ph: (405) 706-3117 |
| NPI Number | 1023237864 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 02/07/2025 |
| Medicare PECOS PAC ID | 6709983885 |
|---|---|
| Medicare Enrollment ID | O20150923003122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023237864 | NPI | - | NPPES |
| L13560915 | Other | AZ | ORGANIZATION REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 35774 (Arizona) | Primary |
| Provider Name | Thara R Damodaran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265455604 PECOS PAC ID: 9133125917 Enrollment ID: I20150924001243 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
Ssm Health Care Of Oklahoma Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
Ssm Health Care Of Oklahoma Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Ok Theta & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6410 N Santa Fe Ave Ste C, Oklahoma City, OK 73116 Phone: 405-607-9227 | |
Angelique Barreto M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |