Individual
MICHAEL THAMBUSWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6802 S OLYMPIA AVE, SUITE #300, TULSA, OK 74132-1876
(918) 749-0762
(918) 744-4246
Mailing address
6802 S OLYMPIA AVE, SUITE #300, TULSA, OK 74132-1876
(918) 749-0762
(918) 744-4246
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
31253
OK
390200000X
Student in an Organized Health Care Education/Training Program
TRN 12140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200588900A
—
OK
01
—
407573YSX2
RR MEDICARE
—
Enumeration date
02/25/2009
Last updated
01/24/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us