Berry Cheriyan Thavalathil, MD

NPI #1851939326 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1851939326
Entity Type: Individual
Name: Berry Cheriyan Thavalathil, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Primary Care
Credential: MD
Enumeration Date: Dec 16, 2019
Last Updated: May 15, 2021

Practice Location

Address: 921 NE 13TH ST
City: Oklahoma City
State: Oklahoma
ZIP Code: 73104-5007
Phone: (405) 456-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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