Organization
LATHA NACHIMUTHU MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATHA NACHIMUTHU MD (PROVIDER)
(703) 390-0491
Entity
Organization
Contact information
Practice address
1145 W I 240 SERVICE RD STE F, OKLAHOMA CITY, OK 73139-2171
(405) 364-3040
Mailing address
1145 W I 240 SERVICE RD STE F, OKLAHOMA CITY, OK 73139-2171
(405) 364-3040
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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