Thara Damodaran Md Llc in Oklahoma City, OK - Medicare Internal Medicine

Thara Damodaran Md Llc is a medicare enrolled primary clinic (Internal Medicine - Infectious Disease) in Oklahoma City, Oklahoma. The current practice location for Thara Damodaran Md Llc is 1925 Nw 142nd St, Oklahoma City, Oklahoma. For appointments, you can reach them via phone at (405) 706-3117. The mailing address for Thara Damodaran Md Llc is Po Box 20490, Mesa, Arizona and phone number is (480) 985-1093.

Thara Damodaran Md Llc is licensed to practice in Arizona (license number 35774). The clinic also participates in the medicare program and its NPI number is 1023237864. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (405) 706-3117.

Contact Information

	Thara Damodaran Md Llc
	1925 Nw 142nd St Oklahoma City OK 73134-6193
	(405) 706-3117
	(877) 349-5185

Map and Direction

Primary Care Clinic Profile

Full Name	Thara Damodaran Md Llc
Speciality	Internal Medicine
Location	1925 Nw 142nd St, Oklahoma City, Oklahoma
Authorized Official Name and Position	Thara R Damodaran (OWNER)
Authorized Official Contact	4807208744
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Thara Damodaran Md Llc Po Box 20490 Mesa AZ 85277-0490 Ph: (480) 985-1093	Thara Damodaran Md Llc 1925 Nw 142nd St Oklahoma City OK 73134-6193 Ph: (405) 706-3117

NPI Details:

NPI Number	1023237864
Provider Enumeration Date	04/24/2007
Last Update Date	02/07/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	6709983885
Medicare Enrollment ID	O20150923003122

Medical Identifiers

Medical identifiers for Thara Damodaran Md Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023237864	NPI	-	NPPES
L13560915	Other	AZ	ORGANIZATION REGISTRATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	35774 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Thara Damodaran Md Llc acts as a billing entity for following providers:

Provider Name	Thara R Damodaran
Provider Type	Practitioner - Infectious Disease
Provider Identifiers	NPI Number: 1265455604 PECOS PAC ID: 9133125917 Enrollment ID: I20150924001243

Reviews and Comments

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Thara Damodaran Md Llc - Medicare Primary Care in Oklahoma City, OK