Individual
THATCHA NAIDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1145 W I 240 SERVICE RD STE F100, OKLAHOMA CITY, OK 73139-2134
(405) 682-8383
(405) 265-5230
Mailing address
1145 W I 240 SERVICE RD STE F100, OKLAHOMA CITY, OK 73139-2134
(405) 682-8383
(405) 265-5230
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4457
OK
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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