npidexNPI registry + Medicare data

BERRY THAVALATHIL, MD

Primary Care Clinic/Center · OKLAHOMA CITY, OK

Individual Active NPI 1851939326

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Primary Care Clinic/Center261QP2300X✓21860PR
Rural Health Clinic/Center261QR1300X21860PR

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Primary Care Clinic/Center providers in Oklahoma

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.