Thara R Damodaran (NPI# 1265455604, PAC ID# 9133125917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1265455604 |
| PAC ID by PECOS | 9133125917 |
| Professional Enrollment ID | I20150924001243 |
| Full Name | Thara R Damodaran |
| Address |
3300 Northwest Expy Oklahoma City OK 73112-4418 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | INFECTIOUS DISEASE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370013 | MERCY HOSPITAL OKLAHOMA CITY, INC |
| 370056 | COMANCHE COUNTY MEMORIAL HOSPITAL |
| 370236 | INTEGRIS HEALTH EDMOND |
| 370215 | OKLAHOMA HEART HOSPITAL, LLC |
| Address | Phone | Organization |
|---|---|---|
| 13313 N Meridian Ave C, Mercy Clinic, Oklahoma City, OK 73120-8316 | 4052549676 | MERCY CLINIC OKLAHOMA COMMUNITIES |
| 13313 N Meridian Ave D, Mercy Clinic, Oklahoma City, OK 73120-8316 | 4052549690 | MERCY CLINIC OKLAHOMA COMMUNITIES |
| 3300 Northwest Expy, Oklahoma City, OK 73112-4418 | ||
| 4300 W Memorial Rd, Mercy Health Center, Oklahoma City, OK 73120-8304 | 4057551515 | MERCY CLINIC OKLAHOMA COMMUNITIES |
| Street Address |
3300 NORTHWEST EXPY |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73112-4418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Byron Gentry | Chiropractic | 4435 Nw36th St A, Oklahoma City, OK 73112 | |
| Xiomara J Porras | Nurse Practitioner | 6301 N Meridian Ave, Suite 103, Oklahoma City, OK 73112-1267 | |
| Dwight P Moyer | Chiropractic | 6301 N Meridian Ave, Suite 101, Oklahoma City, OK 73112-1267 | |
| David T Rothwell | Family Medicine | 6312 N Portland, Parcway Rehab Ctr, Oklahoma City, OK 73112-1463 | |
| Laurie Jill Hast | Diagnostic Radiology | 5800 N Portland Ave, Oklahoma City, OK 73112-1661 | |
| Roy W Bankhead | Urology | Medical Specialists Inc | 5700 N Portland Ave, Suite 100, Oklahoma City, OK 73112-1662 |
| Bassam Arodak | Endocrinology | Integris Ambulatory Care Corporation | 5701 N Portland Ave, Suite 220, Oklahoma City, OK 73112-1670 |
| Lauranne Harris | Obstetrics/gynecology | 3300 Nw Expressway, Oklahoma City, OK 73112-1670 | |
| Edward Duane Jones | Ophthalmology | 5701 N Portland Ave, Suite 105, Oklahoma City, OK 73112-1670 | |
| Amy Christina Costner | Nurse Practitioner | Integris Ambulatory Care Corporation | 5701 N Portland Ave, Suite 320, Oklahoma City, OK 73112-1670 |
| Find all physicians in zip 73112 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | OKLAHOMA CITY + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Thara R Damodaran.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.