DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BERRY CHERIYAN THAVALATHIL, MD

Active Sole Proprietor

BERRY CHERIYAN THAVALATHIL, MD is a Primary Care Clinic healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1851939326 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · OKLAHOMA CITY, OK

Registration Details

NPI Number
1851939326
Provider Type
Individual
Gender
Female
NPI Issued
Dec 16, 2019 (6.6838812849404 yrs)
Last Updated
May 15, 2021
Licenses
21860 (PR)
21860 (PR)
Sole Proprietor
Yes

Practice Information

Address
921 NE 13TH ST
OKLAHOMA CITY, OK, 731045007
Browse OK providers · Browse ZIP 73104
Phone
4054561000
Primary Specialty
Primary Care Clinic
261QP2300X
Additional Specialty
Primary Care Clinic

Other Primary Care Clinic Providers in OKLAHOMA CITY, OK

Name Credential NPI
DR. CLAUDIA L. ROSSAVIK M.D. 1932328473
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.