OrganizationActive
Thara Damodaran MD LLC
NPI 1023237864 · Infectious Disease Physician · Oklahoma City, OK
Provider details
- NPI number
- 1023237864
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thara Damodaran, Owner(480) 720-8744
- License
- 35774 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1925 Nw 142nd St
Oklahoma City, OK 73134-6193
Phone: (405) 706-3117
Fax: (877) 349-5185
Street-level locationGet directions
Mailing address
Po Box 20490
Mesa, AZ 85277-0490
Additional practice locations (1)
- 515 N Mesa DrMesa, AZ 85201-5914Phone: (480) 720-8744Fax: (480) 656-9802
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2025-02-07
- Certified
- 2025-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.