IndividualActive
Berry Thavalathil, MD
NPI 1851939326 · Primary Care Clinic/Center · Oklahoma City, OK
Provider details
- NPI number
- 1851939326
- Entity type
- Individual
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 21860 (PR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
921 Ne 13th St
Oklahoma City, OK 73104-5007
Phone: (405) 456-1000
Approximate (ZIP-level) locationGet directions
Mailing address
921 Ne 13th St
Oklahoma City, OK 73104-5007
Additional practice locations (1)
- Carr. 844Hima San PabloRio Piedras, PR 00928Phone: (787) 653-6060
Registry dates
- Enumerated
- 2019-12-16
- Last updated
- 2021-05-15
- Certified
- 2021-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.