Thavalathil, Berry Cheriyan
Thavalathil, Berry Cheriyan is an sole proprietor health care provider with primary practice located at 921 Ne 13Th St , Oklahoma City OK 73104-5007. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is her primary health care specialty. Thavalathil, Berry Cheriyan can be contacted via phone (405) 456-1000.Contact Information
Primary practice address
921 Ne 13Th St
Oklahoma City OK 73104-5007
Phone: (405) 456-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 21860 | Puerto Rico |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 21860 | Puerto Rico |
Profile Details
| NPI number | 1851939326 |
|---|---|
| LBN Legal business name | Thavalathil, Berry Cheriyan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2019 |
| Last updated | May 15th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851939326 | NPPES |
| Other | 1851939326 | N/A |
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